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General NPI Number Information
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NPI Number | 1518222793
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH SYSTEMS CORP
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 10250 NW 46TH ST
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City | SUNRISE
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State | FL
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Zip | 33351-7902
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Country | US
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Telephone | 186-655-9854
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Fax | 954-626-0161
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Provider Business Mailing Address
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Address Line | 10250 NW 46TH ST
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City | SUNRISE
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State | FL
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Zip | 33351-7902
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Country | US
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Telephone | 186-655-9854
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Fax | 954-626-0161
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEJANDRO CASTRO
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Credential |
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Telephone | 754-300-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | FL
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