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General NPI Number Information
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NPI Number | 1881712735
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Entity Type | Organization
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Legal Business Name | MEDICAL WELLNESS CENTER
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18843 N US HIGHWAY 41
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City | LUTZ
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State | FL
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Zip | 33549-4300
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Country | US
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Telephone | 813-949-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 18843 N US HIGHWAY 41
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City | LUTZ
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State | FL
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Zip | 33549-4300
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Country | US
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Telephone | 813-949-4366
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CURTIS GUNDER MYHREE
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Credential | DC
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Telephone | 813-949-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHOOO3836
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License Number State | FL
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