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General NPI Number Information
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NPI Number | 1720124464
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH & WELLNESS SERVICES INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15431 CROSSING GATE DR
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City | CORNELIUS
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State | NC
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Zip | 28031-8130
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Country | US
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Telephone | 704-896-7789
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Fax | 704-895-9669
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Provider Business Mailing Address
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Address Line | 15431 CROSSING GATE DR
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City | CORNELIUS
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State | NC
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Zip | 28031-8130
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Country | US
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Telephone | 704-896-7789
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Fax | 704-895-9669
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA WINTZ
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Credential |
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Telephone | 704-896-7789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 9217
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License Number State | NC
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