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General NPI Number Information
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NPI Number | 1952200826
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Entity Type | Organization
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Legal Business Name | BE WELL HOLISTIC THERAPEUTIC CENTER
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 127 GREYROCK PL APT 1701 1701
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City | STAMFORD
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State | CT
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Zip | 06901-3117
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Country | US
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Telephone | 203-252-9859
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Fax |
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Provider Business Mailing Address
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Address Line | 127 GREYROCK PL APT 1701
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City | STAMFORD
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State | CT
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Zip | 06901-3117
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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 | EXECUTIVE DIRECTOR
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Name | WENSHY W PREVAL
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Credential | MT
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Telephone | 203-252-9859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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