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General NPI Number Information
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NPI Number | 1982936985
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Entity Type | Organization
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Legal Business Name | WELLNESS SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 15 HOSPITAL CENTER CMNS STE 200A
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2840
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Country | US
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Telephone | 843-686-9355
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Fax | 843-686-9354
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Provider Business Mailing Address
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Address Line | 200 CENTRAL AVE SUITE B
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-1635
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Country | US
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Telephone | 843-686-9355
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Fax | 843-686-9354
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Authorized Official
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Title or Position | OWNER
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Name | DAVID WASHACK
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Credential | D.C.
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Telephone | 843-686-9355
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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 | 2837
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2565
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2003
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License Number State | SC
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