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General NPI Number Information
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NPI Number | 1548036908
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Entity Type | Organization
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Legal Business Name | WELLNESS & BEYOND MEDISPA
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1648 WHITTLESEY RD STE 400
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City | COLUMBUS
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State | GA
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Zip | 31904-3657
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Country | US
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Telephone | 706-221-1353
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Fax | 706-221-1354
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Provider Business Mailing Address
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Address Line | 1648 WHITTLESEY RD
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City | COLUMBUS
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State | GA
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Zip | 31904-3658
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Country | US
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Telephone | 706-221-1353
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Fax | 706-221-1354
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DANIEL MARGOLIN
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Credential | MD
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Telephone | 706-221-1353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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