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General NPI Number Information
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NPI Number | 1841752664
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS AND BARIATRICS, P.A.
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 336 N GRAND AVE
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City | GAINESVILLE
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State | TX
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Zip | 76240-4322
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Country | US
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Telephone | 940-580-9131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 138
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City | GAINESVILLE
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State | TX
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Zip | 76241-0138
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Country | US
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Telephone | 940-580-9131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAH ANN DILL
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Credential | D.O.
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Telephone | 817-304-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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