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General NPI Number Information
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NPI Number | 1558863258
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Entity Type | Organization
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Legal Business Name | WELLNESS CENTER NORTH 1 LLC
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 7061 W COMMERCIAL BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 646-372-4606
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Fax | 754-212-0213
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Provider Business Mailing Address
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Address Line | 16192 COASTAL HWY
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City | LEWES
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State | DE
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Zip | 19958-3608
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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 | MEMBER
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Name | DENNIS ADORNATO
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Credential |
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Telephone | 646-372-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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