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General NPI Number Information
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NPI Number | 1740157312
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Entity Type | Organization
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Legal Business Name | 521 WELLNESS AND TRAINING, LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 635 LAKE AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-3262
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Country | US
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Telephone | 440-812-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 FORMAN RD
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City | JEFFERSON
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State | OH
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Zip | 44047-9614
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Country | US
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Telephone | 440-812-9126
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | DIANA BUCHER
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Credential | CNP
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Telephone | 440-812-9126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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