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General NPI Number Information
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NPI Number | 1831883552
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH GROUP, LLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD STE 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5222
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Country | US
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Telephone | 918-310-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 7780 E 106TH ST
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City | TULSA
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State | OK
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Zip | 74133-6843
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Country | US
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Telephone | 918-740-5093
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & MANAGING MEMBER
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Name | DENNIS LOUDERMILK
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Credential |
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Telephone | 918-740-5093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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