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General NPI Number Information
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NPI Number | 1801721287
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Entity Type | Organization
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Legal Business Name | HEALTH IS WHOLE 360
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 3608 HULL ST
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City | RICHMOND
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State | VA
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Zip | 23224-3447
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Country | US
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Telephone | 404-735-5681
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9201
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City | RICHMOND
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State | VA
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Zip | 23227-0201
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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 | DIRECTOR
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Name | S. MASON
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Credential |
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Telephone | 404-735-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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