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NPI 1659187904

NPI 1659187904 : BD HEALTH & WELLNESS SOLUTIONS LLC : GOODYEAR, AZ

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General NPI Number Information
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    NPI Number           |    1659187904
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    Entity Type          |    Organization 
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    Legal Business Name  |    BD HEALTH & WELLNESS SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    12/10/2024
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    Last Update Date     |    12/10/2024
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Provider Practice Location Address
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    Address Line         |    633 S ESTRELLA PKWY STE 3-120 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85338-9331
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    Country              |    US
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    Telephone            |    623-306-7201
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    Fax                  |    855-653-7017
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Provider Business Mailing Address
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    Address Line         |    633 S ESTRELLA PKWY STE 3-120 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85338-9331
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    Country              |    US
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    Telephone            |    623-306-7201
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    Fax                  |    855-653-7017
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     BELEN  DELEON 
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    Credential           |    
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    Telephone            |    210-831-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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