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General NPI Number Information
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NPI Number | 1770646614
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Entity Type | Organization
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Legal Business Name | WHOLE LIFE HEALTH CARE, PA
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 100 SHATTUCK WAY SUITE 100
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City | NEWINGTON
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State | NH
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Zip | 03801-8004
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Country | US
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Telephone | 603-431-6677
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Fax | 603-610-2232
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Provider Business Mailing Address
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Address Line | 100 SHATTUCK WAY SUITE 100
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City | NEWINGTON
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State | NH
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Zip | 03801-8004
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Country | US
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Telephone | 603-431-6677
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Fax | 603-610-2232
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Authorized Official
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Title or Position | OWNER
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Name | AMY M COOMBS
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Credential | APRN
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Telephone | 603-431-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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