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General NPI Number Information
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NPI Number | 1902583966
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Entity Type | Organization
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Legal Business Name | BEST CARE WELLNESS CENTER
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 321 W HATCHER RD STE 104
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City | PHOENIX
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State | AZ
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Zip | 85021-2491
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Country | US
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Telephone | 602-675-1686
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Fax | 602-675-1703
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Provider Business Mailing Address
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Address Line | 321 W HATCHER RD STE 206
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City | PHOENIX
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State | AZ
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Zip | 85021-2493
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Country | US
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Telephone | 602-675-1686
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Fax | 602-675-1703
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KAY BODUDE
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Credential | RN
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Telephone | 816-456-6860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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