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General NPI Number Information
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NPI Number | 1952823841
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH WEIGHT LOSS INSTITUTE
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1300 MAIN ST STE 200
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City | NAPA
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State | CA
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Zip | 94559-1946
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Country | US
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Telephone | 866-441-8290
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1897
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City | SONOMA
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State | CA
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Zip | 95476-1897
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Country | US
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Telephone | 668-441-0570
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MARSHA SUMMERS
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Credential |
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Telephone | 866-441-0570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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