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General NPI Number Information
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NPI Number | 1952951899
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Entity Type | Organization
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Legal Business Name | WELLNESS RESOURCES
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 2515 INWOOD RD STE 107
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City | DALLAS
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State | TX
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Zip | 75235-7400
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Country | US
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Telephone | 817-247-1509
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161789
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City | FORT WORTH
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State | TX
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Zip | 76161-1789
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Country | US
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Telephone | 817-247-1509
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | XIAOLI RONG
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Credential |
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Telephone | 817-247-1509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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