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General NPI Number Information
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NPI Number | 1700746005
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Entity Type | Organization
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Legal Business Name | AFYAGM HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 8919 BROOKSIDE AVE STE 105
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City | WEST CHESTER
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State | OH
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Zip | 45069-7109
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Country | US
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Telephone | 513-214-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 8919 BROOKSIDE AVE STE 105
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City | WEST CHESTER
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State | OH
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Zip | 45069-7109
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Country | US
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Telephone | 513-214-0315
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Fax |
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Authorized Official
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Title or Position | CEO/PROVIDER
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Name | DR. TAMARA FELICE SMALL
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Credential | PHD, APRN, FNP-C
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Telephone | 513-417-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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