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General NPI Number Information
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NPI Number | 1811725864
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Entity Type | Organization
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Legal Business Name | NOVAK HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3015 S HOLT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-2254
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Country | US
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Telephone | 773-715-7219
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Fax | 317-742-0112
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Provider Business Mailing Address
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Address Line | 3015 S HOLT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-2254
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Country | US
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Telephone | 317-204-7600
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Fax | 317-342-5130
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Authorized Official
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Title or Position | OWNER
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Name | AYEE BLEEMIE
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Credential |
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Telephone | 317-204-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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