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General NPI Number Information
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NPI Number | 1932089067
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Entity Type | Organization
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Legal Business Name | AURORA TOTAL WELLNESS
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1047 BEN FRANKLIN RD
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City | GILBERT
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State | SC
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Zip | 29054-8916
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Country | US
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Telephone | 803-830-6477
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Fax | 803-259-7463
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Provider Business Mailing Address
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Address Line | 1047 BEN FRANKLIN RD
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City | GILBERT
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State | SC
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Zip | 29054-8916
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Country | US
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Telephone | 803-830-6477
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Fax | 803-259-7463
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | ALYSSA MEGAN TAYLOR HODGE
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Credential | FNP-BC
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Telephone | 803-830-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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