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General NPI Number Information
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NPI Number | 1942163860
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Entity Type | Organization
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Legal Business Name | INTELLECTUALS HEALTH & WELLNESS
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4410 LEWIS AVE
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City | TOLEDO
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State | OH
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Zip | 43612-1846
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Country | US
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Telephone | 419-514-4265
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Fax | 419-725-0001
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Provider Business Mailing Address
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Address Line | 4410 LEWIS AVE
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City | TOLEDO
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State | OH
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Zip | 43612-1846
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Country | US
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Telephone | 419-514-4265
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Fax | 419-725-0001
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Authorized Official
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Title or Position | OWNER
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Name | SHADAMA HOWARD
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Credential |
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Telephone | 419-514-4265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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