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General NPI Number Information
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NPI Number | 1679057814
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH AND WELLNESS GROUP, INC.
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 201 N FEDERAL HWY STE 105
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3621
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Country | US
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Telephone | 954-393-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N FEDERAL HWY STE 105
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN M WAY
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Credential |
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Telephone | 954-393-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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