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General NPI Number Information
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NPI Number | 1982581286
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Entity Type | Organization
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Legal Business Name | MAHA WELLNESS LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 16085 SW 112TH TER
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City | MIAMI
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State | FL
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Zip | 33196-4250
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Country | US
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Telephone | 305-987-3044
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Fax |
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Provider Business Mailing Address
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Address Line | 16085 SW 112TH TER
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City | MIAMI
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State | FL
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Zip | 33196-4250
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Country | US
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Telephone | 305-987-3044
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | ANGELLO ALVA
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Credential | RN
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Telephone | 305-987-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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