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General NPI Number Information
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NPI Number | 1255105516
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Entity Type | Organization
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Legal Business Name | CLARITY AND WELLNESS PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 10003 COURTVIEW LN STE E
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6682
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Country | US
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Telephone | 804-621-2443
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Fax | 804-621-2552
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Provider Business Mailing Address
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Address Line | 10003 COURTVIEW LN STE E
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6682
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Country | US
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Telephone | 804-691-5967
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Fax | 484-200-4482
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JILL B JONES
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Credential | FNP-C, PMHNP-BC
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Telephone | 804-803-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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