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General NPI Number Information
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NPI Number | 1871402602
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Entity Type | Organization
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Legal Business Name | ELEMENT WELLNESS
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 910 LINCOLNWAY
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City | LA PORTE
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State | IN
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Zip | 46350-3412
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Country | US
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Telephone | 219-851-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 1739 W TIFFANY WOODS DR
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City | LA PORTE
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State | IN
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Zip | 46350-7004
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Country | US
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Telephone | 219-851-1193
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KRISTIN ANDERSON
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Credential |
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Telephone | 219-851-1193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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