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General NPI Number Information
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NPI Number | 1942116678
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Entity Type | Organization
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Legal Business Name | DOXEN HEALTH WELLNESS, CORP
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 3194 N WINDSONG DR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2239
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Country | US
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Telephone | 716-508-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 3194 N WINDSONG DR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2239
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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 | OWNER
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Name | THOMAS FALLETTA
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Credential | NP
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Telephone | 716-481-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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