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General NPI Number Information
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NPI Number | 1518763275
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Entity Type | Organization
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Legal Business Name | AFYA INTEGRATED WELLNESS INC.
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 12614 LAMBERT RD
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City | WHITTIER
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State | CA
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Zip | 90602-3213
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Country | US
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Telephone | 562-360-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 13502 WHITTIER BLVD STE H
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City | WHITTIER
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State | CA
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Zip | 90605-1944
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Country | US
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Telephone | 951-530-6388
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SHIRO N/A CHIRO
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Credential | DC
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Telephone | 951-530-6388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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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