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NPI 1740469709

NPI 1740469709 : PARAGON WELLNESS CENTER, LLC : BLOOMINGTON, IN

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General NPI Number Information
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    NPI Number           |    1740469709
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARAGON WELLNESS CENTER, LLC 
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Dates
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    Enumeration Date     |    10/26/2007
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    1332 W ARCH HAVEN AVE SUITE C
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47403-2079
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    Country              |    US
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    Telephone            |    812-272-3700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1332 W ARCH HAVEN AVE SUITE C
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47403-2079
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    Country              |    US
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    Telephone            |    812-272-3700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     MEGAN DENISE FRANKLIN 
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    Credential           |    
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    Telephone            |    812-333-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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