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General NPI Number Information
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NPI Number | 1720696362
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Entity Type | Organization
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Legal Business Name | LIVING WELL HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 270 W MAIN ST
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City | ELKTON
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State | MD
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Zip | 21921-5232
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Country | US
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Telephone | 410-620-4322
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Fax | 410-620-4342
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Provider Business Mailing Address
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Address Line | 270 W MAIN ST
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City | ELKTON
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State | MD
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Zip | 21921-5232
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Country | US
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Telephone | 410-620-4322
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Fax | 410-620-4342
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM MICHAEL CLIFFORD
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Credential | DC
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Telephone | 410-620-4322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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