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General NPI Number Information
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NPI Number | 1568552099
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2813 WEHRLE DR SUITE 11
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7384
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Country | US
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Telephone | 716-630-6648
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Fax | 716-630-6647
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Provider Business Mailing Address
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Address Line | 2813 WEHRLE DR SUITE 11
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7384
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Country | US
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Telephone | 716-630-6648
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Fax | 716-630-6647
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MS. JODY LAMARCA
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Credential | R.D., CDN
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Telephone | 716-630-6648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 833179
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License Number State | NY
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