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General NPI Number Information
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NPI Number | 1952533713
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 3900 NEW COVINGTON PIKE STE 109
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City | MEMPHIS
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State | TN
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Zip | 38128-2526
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Country | US
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Telephone | 901-373-4001
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Fax | 800-594-8026
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Provider Business Mailing Address
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Address Line | 3900 NEW COVINGTON PIKE STE 109
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City | MEMPHIS
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State | TN
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Zip | 38128-2526
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Country | US
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Telephone | 901-373-4001
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Fax | 800-594-8026
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Authorized Official
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Title or Position | CEO
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Name | MRS. ORA L ROBINSON
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Credential |
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Telephone | 901-301-8974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | APN0000008020
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License Number State | TN
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