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General NPI Number Information
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NPI Number | 1780553933
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 4010 S 57TH AVE STE 201
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City | GREENACRES
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State | FL
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Zip | 33463-4301
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Country | US
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Telephone | 972-677-3499
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Fax | 972-677-3499
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Provider Business Mailing Address
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Address Line | PO BOX 733707
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City | DALLAS
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State | TX
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Zip | 75373-3707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JIM DOUTHITT
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Credential |
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Telephone | 972-677-3499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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