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General NPI Number Information
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NPI Number | 1659874485
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Entity Type | Organization
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Legal Business Name | COMPLETE WELLNESS MANAGEMENT
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Dates
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Enumeration Date | 03/18/2018
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Last Update Date | 03/18/2018
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Provider Practice Location Address
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Address Line | 6200 E CANYON RIM RD STE 113
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City | ANAHEIM
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State | CA
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Zip | 92807-4314
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Country | US
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Telephone | 714-970-4923
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Fax | 866-627-8003
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Provider Business Mailing Address
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Address Line | 6200 E CANYON RIM RD STE 113
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City | ANAHEIM
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State | CA
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Zip | 92807-4314
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Country | US
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Telephone | 714-970-4923
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Fax | 866-627-8003
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM EDWARDS
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Credential |
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Telephone | 714-970-4923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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