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General NPI Number Information
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NPI Number | 1508587742
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Entity Type | Organization
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Legal Business Name | NATURAL WELLNESS LAB
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 833 ALLISON BONNETT MEMORIAL DR STE 151
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City | BESSEMER
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State | AL
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Zip | 35023-1884
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Country | US
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Telephone | 480-791-6233
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Fax | 877-775-2515
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Provider Business Mailing Address
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Address Line | 833 ALLISON BONNETT MEMORIAL DR STE 151
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City | BESSEMER
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State | AL
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Zip | 35023-1884
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Country | US
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Telephone | 480-791-6233
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Fax | 877-775-2515
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Authorized Official
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Title or Position | CEO
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Name | MEQUEL HENDERSON
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Credential | PHLEMBOTOMIST
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Telephone | 205-200-1785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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