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General NPI Number Information
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NPI Number | 1760386411
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Entity Type | Organization
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Legal Business Name | SALUS WELLNESS LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 126 PEORIA ST
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City | WASHINGTON
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State | IL
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Zip | 61571-2543
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Country | US
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Telephone | 309-508-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 126 PEORIA ST
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City | WASHINGTON
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State | IL
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Zip | 61571-2543
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Country | US
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Telephone | 309-508-7002
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | SARAH HERRON
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Credential | NP
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Telephone | 309-508-7002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NULL
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