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General NPI Number Information
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NPI Number | 1700511979
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Entity Type | Organization
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Legal Business Name | BE WELL HOLISTIC CARE, LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 417 E JACKSON ST
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City | ORLANDO
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State | FL
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Zip | 32801-2805
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Country | US
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Telephone | 407-494-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 417 E JACKSON ST
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City | ORLANDO
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State | FL
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Zip | 32801-2805
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Country | US
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Telephone | 407-494-2272
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. MELISSA K SONNENSCHEIN
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Credential |
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Telephone | 407-494-2272
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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