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General NPI Number Information
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NPI Number | 1811303092
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH RESOURCES
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 108 POPPY HILLS CT
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City | RALEIGH
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State | NC
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Zip | 27603-4172
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Country | US
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Telephone | 919-740-3787
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Fax |
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Provider Business Mailing Address
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Address Line | 108 POPPY HILLS CT
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City | RALEIGH
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State | NC
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Zip | 27603-4172
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Country | US
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Telephone | 919-740-3787
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ARLINDA KAY RODRIQUEZ
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Credential |
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Telephone | 919-740-3787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008350
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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