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General NPI Number Information
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NPI Number | 1750740809
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Entity Type | Organization
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Legal Business Name | AMERICA'S WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 441 WADSWORTH BLVD SUITE 101
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City | LAKEWOOD
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State | CO
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Zip | 80226-1508
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Country | US
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Telephone | 303-985-4604
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Fax | 888-262-0920
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Provider Business Mailing Address
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Address Line | 2814 E EVANS DR
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City | PHOENIX
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State | AZ
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Zip | 85032-5031
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Country | US
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Telephone | 602-524-9022
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. MW HELMUTH
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Credential |
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Telephone | 720-339-5883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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