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General NPI Number Information
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NPI Number | 1265221279
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Entity Type | Organization
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Legal Business Name | WOKE ENTERPRISE LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 9221 FOREST HILL AVE
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City | RICHMOND
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State | VA
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Zip | 23235-6876
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Country | US
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Telephone | 919-446-5188
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Fax | 984-330-5684
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Provider Business Mailing Address
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Address Line | 300 SOUTHTOWN CIR
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City | ROLESVILLE
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State | NC
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Zip | 27571-9573
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Country | US
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Telephone | 919-446-5188
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Fax | 984-330-5684
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Authorized Official
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Title or Position | CO-OWNER
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Name | VENUS WOKE
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Credential | MSN, CNP, PMHNP-BC
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Telephone | 919-446-5188
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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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