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General NPI Number Information
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NPI Number | 1063379535
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Entity Type | Organization
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Legal Business Name | ANANDA HOLISTICS AND WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10105 BALTIMORE AVE APT 3401
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City | COLLEGE PARK
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State | MD
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Zip | 20740-4231
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Country | US
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Telephone | 240-622-5158
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Fax | 667-401-1046
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Provider Business Mailing Address
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Address Line | 2450 RYE ST APT 843
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City | BALTIMORE
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State | MD
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Zip | 21230-5618
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Country | US
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Telephone | 240-622-5158
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Fax | 667-401-1046
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | OLGA M HALL
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Credential | FNP
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Telephone | 410-937-1766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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