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General NPI Number Information
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NPI Number | 1124849567
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Entity Type | Organization
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Legal Business Name | YOU ARE AMAZING HEALTH AND WELLNESS
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5033 SELWOOD RD
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City | RICHMOND
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State | VA
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Zip | 23234
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Country | US
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Telephone | 804-878-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DR STE 304
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City | RICHMOND
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State | VA
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Zip | 23230-3423
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Country | US
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Telephone | 804-878-3518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH BRAXTON
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Credential | NP
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Telephone | 804-592-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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