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General NPI Number Information
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NPI Number | 1942788542
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALTH ADVANCEMENTS, LLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 9005 TWO NOTCH RD STE 4
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City | COLUMBIA
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State | SC
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Zip | 29223-5851
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Country | US
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Telephone | 803-205-5395
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Fax | 803-621-1526
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Provider Business Mailing Address
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Address Line | 9005 TWO NOTCH RD STE 4
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City | COLUMBIA
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State | SC
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Zip | 29223-5851
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Country | US
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Telephone | 803-205-5395
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MELISSA MULLINS
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Credential | EDD
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Telephone | 803-205-5395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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