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General NPI Number Information
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NPI Number | 1811818222
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Entity Type | Organization
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Legal Business Name | VICTRESS HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 2025 E 4TH ST
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City | LIMA
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State | OH
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Zip | 45804-4172
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Country | US
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Telephone | 937-557-5657
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Fax | 513-230-2024
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Provider Business Mailing Address
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Address Line | 2025 E 4TH ST STE D
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City | LIMA
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State | OH
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Zip | 45804-4172
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Country | US
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Telephone | 937-557-5657
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Fax | 513-230-2024
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ERIN E HAZELBAKER
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Credential | PT
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Telephone | 937-266-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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