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General NPI Number Information
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NPI Number | 1003326802
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HEALTH & WELLNESS RALEIGH
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1920 FALLS VALLEY DR STE 130
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City | RALEIGH
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State | NC
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Zip | 27615-3445
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Country | US
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Telephone | 919-208-2314
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 FALLS VALLEY DR STE 130
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City | RALEIGH
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State | NC
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Zip | 27615-3445
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Country | US
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Telephone | 919-208-2314
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH ARTRIP SIERAKOWSKI
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Credential | MD
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Telephone | 919-208-2314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 2014-00386
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License Number State | NC
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