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General NPI Number Information
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NPI Number | 1285389510
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Entity Type | Organization
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Legal Business Name | SALIENT HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1950 RIVERSIDE PKWY STE F-G
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5918
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Country | US
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Telephone | 800-866-2350
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Fax | 912-501-3394
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Provider Business Mailing Address
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Address Line | 1950 RIVERSIDE PKWY STE F-G
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5918
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Country | US
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Telephone | 800-866-2350
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Fax | 912-501-3394
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Authorized Official
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Title or Position | OWNER
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Name | JOY NKIRUKA IBEH
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Credential |
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Telephone | 800-866-2350
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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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