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General NPI Number Information
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NPI Number | 1790373082
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Entity Type | Organization
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Legal Business Name | ONLY ONE HOLISTIC HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 5401 GUNBOAT DR STE 31
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City | COLUMBUS
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State | GA
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Zip | 31907-1498
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Country | US
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Telephone | 254-317-5013
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 GUNBOAT DR STE 31
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City | COLUMBUS
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State | GA
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Zip | 31907-1498
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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 | OWNER
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Name | ALICIA TAYLOR
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Credential |
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Telephone | 254-317-5013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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