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General NPI Number Information
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NPI Number | 1962368555
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Entity Type | Organization
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Legal Business Name | DWF WELLNESS, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 13165 BROWN BRIDGE RD
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City | COVINGTON
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State | GA
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Zip | 30016-4115
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Country | US
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Telephone | 678-532-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 13165 BROWN BRIDGE RD
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City | COVINGTON
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State | GA
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Zip | 30016-4115
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Country | US
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Telephone | 678-532-9442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN ALICIA WELLS
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Credential | CEP
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Telephone | 678-532-9442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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