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General NPI Number Information
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NPI Number | 1295576494
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Entity Type | Organization
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Legal Business Name | ALIGN MIND AND BODY, LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 16A BEL AIR SOUTH PKWY STE 323
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City | BEL AIR
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State | MD
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Zip | 21015-6038
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Country | US
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Telephone | 410-716-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 16A BEL AIR SOUTH PKWY STE 323
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City | BEL AIR
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State | MD
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Zip | 21015-6038
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Country | US
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Telephone | 410-716-4270
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUZETTE ANTOINETTE NELSON
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Credential | CRNP
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Telephone | 412-779-0037
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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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