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General NPI Number Information
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NPI Number | 1750251039
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Entity Type | Organization
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Legal Business Name | WHOLISTIC HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 921 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2341
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Country | US
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Telephone | 614-429-8731
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Fax |
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Provider Business Mailing Address
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Address Line | 921 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2341
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Country | US
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Telephone | 614-429-8731
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Fax |
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Authorized Official
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Title or Position | ADVANCED PRACTICE OWNER
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Name | COLELISA HAYES
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Credential | APRN, FNP-C
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Telephone | 614-376-3462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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