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General NPI Number Information
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NPI Number | 1912038928
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH ALTERNATIVES INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2295 S HIAWASSEE RD STE 205
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City | ORLANDO
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State | FL
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Zip | 32835-8748
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Country | US
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Telephone | 407-298-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 2295 S HIAWASSEE RD STE 205
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City | ORLANDO
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State | FL
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Zip | 32835-8748
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP-SECRETARY
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Name | JOAN TERRY
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Credential |
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Telephone | 407-298-3090
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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 | CH6645 AND CH6604
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License Number State | FL
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