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General NPI Number Information
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NPI Number | 1730978867
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Entity Type | Organization
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Legal Business Name | WELLNESS AMERICA LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 750 NW 57TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2028
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Country | US
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Telephone | 561-501-2391
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Fax |
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Provider Business Mailing Address
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Address Line | 750 NW 57TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2825
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Country | US
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Telephone | 561-501-2391
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | KENT MCNEAL
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Credential |
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Telephone | 561-501-2391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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