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General NPI Number Information
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NPI Number | 1952985798
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Entity Type | Organization
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Legal Business Name | NWI HEALTH & WELLNESS
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 1051 SOUTHPOINT CIR STE F
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City | VALPARAISO
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State | IN
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Zip | 46385-6256
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Country | US
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Telephone | 219-252-4892
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 SOUTHPOINT CIR STE F
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City | VALPARAISO
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State | IN
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Zip | 46385-6256
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Country | US
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Telephone | 219-252-4892
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | LYNN MCDONALD
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Credential |
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Telephone | 219-769-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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