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General NPI Number Information
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NPI Number | 1568127736
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Entity Type | Organization
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Legal Business Name | WELL-SPRING WELLNESS CENTER
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 150 W 22ND ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-5512
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Country | US
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Telephone | 561-685-8209
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Fax |
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Provider Business Mailing Address
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Address Line | 605 KINGFISH RD
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3705
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Country | US
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Telephone | 561-685-8209
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WILLA A ATWELL
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Credential | RN
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Telephone | 561-685-8209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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