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NPI 1033906458

NPI 1033906458 : NOWLIN AND COMPANY WELLNESS : RICHMOND HILL, GA

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General NPI Number Information
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    NPI Number           |    1033906458
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOWLIN AND COMPANY WELLNESS 
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Dates
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    Enumeration Date     |    04/21/2025
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    505 HARRIS TRAIL RD APT 18B 
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    City                 |    RICHMOND HILL
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    State                |    GA
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    Zip                  |    31324-4247
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    Country              |    US
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    Telephone            |    912-572-4877
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    Fax                  |    912-572-4877
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Provider Business Mailing Address
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    Address Line         |    505 HARRIS TRAIL RD APT 18B 
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    City                 |    RICHMOND HILL
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    State                |    GA
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    Zip                  |    31324-4247
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    Country              |    US
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    Telephone            |    912-572-4877
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    Fax                  |    912-572-4877
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANOVIA  NOWLIN 
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    Credential           |    
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    Telephone            |    912-572-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    
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    License Number State |    
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