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General NPI Number Information
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NPI Number | 1639037534
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Entity Type | Organization
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Legal Business Name | LIFE HEALTH AND WELLNESS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 403 PARKER IVEY DR
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City | GREENVILLE
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State | SC
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Zip | 29607-6513
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Country | US
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Telephone | 864-720-3390
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Fax | 864-288-6818
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Provider Business Mailing Address
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Address Line | 403 PARKER IVEY DR
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City | GREENVILLE
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State | SC
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Zip | 29607-6513
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Country | US
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Telephone | 864-720-3390
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Fax | 864-288-6818
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Authorized Official
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Title or Position | OWNER
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Name | YVETTE ERICA EDWARDS
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Credential | DC
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Telephone | 864-720-3390
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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 |
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License Number State |
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