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General NPI Number Information
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NPI Number | 1639195720
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Entity Type | Organization
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Legal Business Name | WELLNESS FIRST LLC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1711 S PEARL ST
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City | DENVER
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State | CO
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Zip | 80210-3134
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Country | US
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Telephone | 303-744-6567
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Fax | 303-733-6199
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Provider Business Mailing Address
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Address Line | 1711 S PEARL ST
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City | DENVER
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State | CO
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Zip | 80210-3134
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Country | US
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Telephone | 303-744-6567
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Fax | 303-733-6199
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. JEANA THOMAS
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Credential | D.C.
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Telephone | 303-744-6567
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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 | 3725
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License Number State | CO
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