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General NPI Number Information
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NPI Number | 1588378244
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTH & WELLNESS SPA, LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 5031 MEADOWLAKE CRST
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City | BESSEMER
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State | AL
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Zip | 35020-6074
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Country | US
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Telephone | 659-346-6855
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Fax |
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Provider Business Mailing Address
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Address Line | 5031 MEADOWLAKE CRST
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City | BESSEMER
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State | AL
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Zip | 35020-6074
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Country | US
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Telephone | 205-567-0582
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LAZITA LANELL SMILEY
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Credential | CRNP
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Telephone | 659-346-6855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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