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General NPI Number Information
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NPI Number | 1609027572
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Entity Type | Organization
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Legal Business Name | ADL WELLNESS & HERBS N MORE, INC.
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 4353 EDGEWATER DR STE 3
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City | ORLANDO
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State | FL
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Zip | 32804-2170
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Country | US
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Telephone | 407-297-0772
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Fax | 407-297-0474
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Provider Business Mailing Address
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Address Line | 4353 EDGEWARTER DR STE 3
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City | ORLANDO
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State | FL
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Zip | 32804-2701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHRYN FERRANTE
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Credential |
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Telephone | 407-297-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | MM6379
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License Number State | FL
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