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General NPI Number Information
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NPI Number | 1497618227
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Entity Type | Organization
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Legal Business Name | EVOL WELLNESS
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 409 VILLAGE DR
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City | AVENEL
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State | NJ
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Zip | 07001-1009
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Country | US
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Telephone | 908-380-4608
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Fax |
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Provider Business Mailing Address
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Address Line | 409 VILLLAGE DRIVE
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City | WOODBRIDGE
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State | NJ
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Zip | 07001
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Country | US
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Telephone | 908-380-4608
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Fax |
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Authorized Official
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Title or Position | COO
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Name | VOIJIN MIRANOVIC
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Credential |
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Telephone | 908-380-4608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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