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General NPI Number Information
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NPI Number | 1508671355
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Entity Type | Organization
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Legal Business Name | THE WELL SOCIETY
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3813 SWINDELL RD
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City | LAKELAND
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State | FL
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Zip | 33810-2813
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Country | US
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Telephone | 269-449-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 3813 SWINDELL RD
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City | LAKELAND
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State | FL
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Zip | 33810-2813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | OLIVIA KNIGHT
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Credential | DC
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Telephone | 269-449-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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