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General NPI Number Information
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NPI Number | 1629251335
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Entity Type | Organization
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Legal Business Name | NEW DAY WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 12105 COPPER WAY STE 204
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City | CHARLOTTE
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State | NC
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Zip | 28277-4393
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Country | US
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Telephone | 704-697-1116
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Fax | 803-285-7509
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Provider Business Mailing Address
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Address Line | 12105 COPPER WAY STE 204
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City | CHARLOTTE
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State | NC
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Zip | 28277-4393
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Country | US
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Telephone | 704-697-1116
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Fax | 704-697-1117
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TODD DAY
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Credential |
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Telephone | 704-697-1116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22582
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License Number State | SC
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