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General NPI Number Information
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NPI Number | 1275263790
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Entity Type | Organization
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Legal Business Name | BE WELL FAMILY MEDICINE AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 3779 FETTLER PARK DR
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City | DUMFRIES
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State | VA
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Zip | 22025-1946
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Country | US
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Telephone | 571-391-6727
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Fax | 703-291-7129
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Provider Business Mailing Address
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Address Line | 18000 RED CEDAR RD
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City | DUMFRIES
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State | VA
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Zip | 22026-2943
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Country | US
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Telephone | 703-593-5103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMINAH LATONYA JONES
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Credential | MD
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Telephone | 703-593-5103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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