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General NPI Number Information
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NPI Number | 1891552642
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Entity Type | Organization
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Legal Business Name | AMS WELLNESS
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 23801 CALABASAS RD STE 2023
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City | CALABASAS
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State | CA
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Zip | 91302-1558
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Country | US
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Telephone | 619-316-4735
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Fax |
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Provider Business Mailing Address
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Address Line | 6444 LUNITA RD
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City | MALIBU
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State | CA
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Zip | 90265-2629
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Country | US
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Telephone | 619-316-4735
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASHLEY STEELE
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Credential | RN
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Telephone | 619-316-4735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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