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General NPI Number Information
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NPI Number | 1700192242
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Entity Type | Organization
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Legal Business Name | WORLD-WIDE WELLNESS INC.
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 08/22/2010
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Provider Practice Location Address
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Address Line | 700 HIGH RISE DR
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-8282
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Country | US
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Telephone | 724-675-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HIGH RISE DR
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-8282
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Country | US
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Telephone | 724-675-8111
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. VICKIE PAOUNCIC
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Credential |
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Telephone | 724-675-8111
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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 | DC006271L
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License Number State | PA
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