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General NPI Number Information
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NPI Number | 1750695557
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Entity Type | Organization
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Legal Business Name | LYMPHATIC & WELLNESS CENTERS,LLC
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/26/2011
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Provider Practice Location Address
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Address Line | 1600 4TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-5711
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Country | US
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Telephone | 205-267-1993
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Fax | 888-501-7205
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Provider Business Mailing Address
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Address Line | 1600 4TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-5711
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Country | US
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Telephone | 205-267-1993
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Fax | 888-501-7205
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | MS. CLAUDETTE CURRY
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Credential |
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Telephone | 205-267-1993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2512
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License Number State | AL
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