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General NPI Number Information
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NPI Number | 1790783421
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Entity Type | Organization
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Legal Business Name | HEALTH AND WELLNESS ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2500 HOLLYWOOD BLVD STE 201
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6615
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Country | US
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Telephone | 954-920-5020
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Fax | 954-920-5020
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Provider Business Mailing Address
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Address Line | PO BOX 814385
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City | HOLLYWOOD
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State | FL
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Zip | 33081-4385
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Country | US
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Telephone | 954-920-5020
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Fax | 954-920-5020
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. RUSSELL ANDREW FICARA
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Credential | D.C.
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Telephone | 954-920-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | FL
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