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General NPI Number Information
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NPI Number | 1164183638
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Entity Type | Organization
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Legal Business Name | ONE HEART HEALTH AND WELLNESS
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 10705 CHARTER DR STE 430
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City | COLUMBIA
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State | MD
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Zip | 21044-2870
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Country | US
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Telephone | 301-259-3574
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Fax | 301-234-1556
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Provider Business Mailing Address
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Address Line | 10705 CHARTER DR STE 430
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City | COLUMBIA
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State | MD
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Zip | 21044-2870
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Country | US
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Telephone | 301-259-3574
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Fax | 301-234-1556
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Authorized Official
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Title or Position | PROVIDER
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Name | BLANCHE CEFORA KATTIE
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Credential | DNP
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Telephone | 301-259-3574
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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 |
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License Number State |
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