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General NPI Number Information
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NPI Number | 1790602357
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Entity Type | Organization
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Legal Business Name | KRTL MEDHEALTH CORP
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 2940 SOUTHWEST DR STE 3
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City | SEDONA
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State | AZ
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Zip | 86336-3717
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Country | US
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Telephone | 775-977-2795
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Fax |
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Provider Business Mailing Address
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Address Line | 27533 MARTA LN APT 202
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-6564
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Country | US
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Telephone | 775-239-0098
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TERESA WHEELER
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Credential |
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Telephone | 775-239-0098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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