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General NPI Number Information
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NPI Number | 1588391221
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Entity Type | Organization
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Legal Business Name | CORE STRENGTH WELLNESS CENTER
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 130 N PRESTON RD STE 201
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City | PROSPER
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State | TX
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Zip | 75078-3185
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Country | US
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Telephone | 972-292-9863
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Fax |
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Provider Business Mailing Address
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Address Line | 130 N PRESTON RD STE 201
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City | PROSPER
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State | TX
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Zip | 75078-3185
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Country | US
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Telephone | 972-292-9863
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JARED J WILSON
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Credential | DC
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Telephone | 979-292-9863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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