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General NPI Number Information
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NPI Number | 1700411725
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Entity Type | Organization
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Legal Business Name | BMS WELLNESS
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 1500 METRO DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3308
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Country | US
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Telephone | 318-308-3209
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Fax | 318-445-2330
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Provider Business Mailing Address
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Address Line | 1500 METRO DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3308
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Country | US
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Telephone | 318-308-3209
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Fax | 318-445-2330
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AMY MCNULTY
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Credential |
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Telephone | 318-308-3209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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