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General NPI Number Information
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NPI Number | 1972456424
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Entity Type | Organization
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Legal Business Name | BELLA VITA WELLNESS LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 235 COMMERCE DR UNIT 301
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-6178
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Country | US
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Telephone | 843-314-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 235 COMMERCE DR UNIT 301
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-6178
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Country | US
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Telephone | 843-314-0035
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | MELISSA WHETZEL
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Credential | NP
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Telephone | 336-266-3041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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