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General NPI Number Information
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NPI Number | 1972980258
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Entity Type | Organization
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Legal Business Name | ADVANCED WELLNESS SOLUTIONS LLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 729 SW FEDERAL HWY STE 102
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City | STUART
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State | FL
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Zip | 34994-2913
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Country | US
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Telephone | 855-509-5400
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Fax | 321-373-2062
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Provider Business Mailing Address
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Address Line | 729 SW FEDERAL HWY STE 102
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City | STUART
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State | FL
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Zip | 34994-2913
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Country | US
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Telephone | 855-509-5400
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Fax | 321-373-2062
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. DANIELLE CHRISTINE HURD
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Credential | DC
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Telephone | 855-509-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11334
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License Number State | FL
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