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General NPI Number Information
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NPI Number | 1629107594
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Entity Type | Organization
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Legal Business Name | WELLNESS INVESTMENTS LLC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 711 E CAREFREE HWY B214
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City | PHOENIX
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State | AZ
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Zip | 85085-0101
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Country | US
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Telephone | 623-582-4252
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Fax | 623-582-4109
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Provider Business Mailing Address
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Address Line | 711 E CAREFREE HWY B214
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City | PHOENIX
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State | AZ
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Zip | 85085-0101
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Country | US
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Telephone | 623-582-4252
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Fax | 623-582-4109
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY G SMYTH
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Credential | DC
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Telephone | 623-582-4252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7248
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License Number State | AZ
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