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General NPI Number Information
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NPI Number | 1063244994
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Entity Type | Organization
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Legal Business Name | AMAZING WELLNESS CARE LLC
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2408 MINNESOTA AVE SE # NA
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City | WASHINGTON
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State | DC
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Zip | 20020-5328
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Country | US
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Telephone | 240-478-1969
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 MINNESOTA AVE SE # NA
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City | WASHINGTON
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State | DC
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Zip | 20020-5328
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Country | US
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Telephone | 240-478-1969
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER ELONG
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Credential | LLB
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Telephone | 240-478-1969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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