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General NPI Number Information
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NPI Number | 1285517060
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Entity Type | Organization
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Legal Business Name | VAGAL RESET HOLISTIC WELLNESS
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 7315 WISCONSIN AVE STE 400W
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City | BETHESDA
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State | MD
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Zip | 20814-3224
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Country | US
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Telephone | 443-945-3781
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Fax |
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Provider Business Mailing Address
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Address Line | 1754 S ST NW APT 3
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City | WASHINGTON
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State | DC
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Zip | 20009-6168
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Country | US
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Telephone | 443-945-3781
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | NICHOLAS HARMER
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Credential | LCSW-C
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Telephone | 443-945-3781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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