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General NPI Number Information
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NPI Number | 1487964722
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS CENTERS
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 6814 ATMORE DR
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City | RICHMOND
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State | VA
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Zip | 23225-5604
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Country | US
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Telephone | 804-562-8831
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Fax | 866-401-7410
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Provider Business Mailing Address
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Address Line | 6814 ATMORE DR
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City | RICHMOND
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State | VA
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Zip | 23225-5604
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Country | US
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Telephone | 804-562-8831
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Fax | 866-401-7410
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Authorized Official
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Title or Position | CHIEF EXCUTIVE OFFICER
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Name | DR. ANTHONY DAWANE DUNCAN
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Credential | PSY.D.
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Telephone | 757-472-3646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0810004297
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License Number State | VA
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