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General NPI Number Information
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NPI Number | 1962128843
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Entity Type | Organization
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Legal Business Name | BE WELL HEALTH CLINIC LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 4343 SHALLOWFORD RD STE 720
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City | MARIETTA
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State | GA
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Zip | 30062-5082
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Country | US
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Telephone | 470-316-6207
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Fax | 470-412-6886
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Provider Business Mailing Address
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Address Line | 530 BIRCHAM WAY
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City | ROSWELL
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State | GA
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Zip | 30075-6608
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Country | US
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Telephone | 470-316-6207
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Fax | 470-412-6886
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DIMPLE KRIPALANI
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Credential |
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Telephone | 470-316-6207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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