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NPI 1598543845

NPI 1598543845 : ALLCARE HEALTH & HEALING LLC : VAN WERT, OH

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General NPI Number Information
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    NPI Number           |    1598543845
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLCARE HEALTH & HEALING LLC 
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Dates
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    Enumeration Date     |    09/18/2023
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    111 E MAIN ST STE 205 
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    City                 |    VAN WERT
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    State                |    OH
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    Zip                  |    45891-1735
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    Country              |    US
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    Telephone            |    419-210-5251
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    Fax                  |    970-238-8454
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Provider Business Mailing Address
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    Address Line         |    111 E MAIN ST STE 205 
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    City                 |    VAN WERT
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    State                |    OH
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    Zip                  |    45891-1735
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    Country              |    US
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    Telephone            |    419-210-5251
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     TARRA J WALTMIRE 
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    Credential           |    CNP
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    Telephone            |    419-210-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332900000X
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    Taxonomy Name        |    Non-Pharmacy Dispensing Site
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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