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General NPI Number Information
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NPI Number | 1699576157
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Entity Type | Organization
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Legal Business Name | ANGELIC WELLNESS LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 156 S FLYNN RD STE B
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City | WESTVILLE
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State | IN
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Zip | 46391-9491
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Country | US
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Telephone | 219-344-0675
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | WESTVILLE
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State | IN
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Zip | 46391-0233
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Country | US
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Telephone | 219-344-0675
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA DENISE SHEELER
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Credential | LMT
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Telephone | 219-344-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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