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General NPI Number Information
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NPI Number | 1306701206
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Entity Type | Organization
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Legal Business Name | ASH & BLOOM WELLNESS PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 8300 HEALTH PARK STE 201
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City | RALEIGH
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State | NC
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Zip | 27615-4731
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Country | US
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Telephone | 919-820-8377
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Fax | 919-820-8914
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Provider Business Mailing Address
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Address Line | 207 W MILLBROOK RD STE 210
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City | RALEIGH
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State | NC
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Zip | 27609-4490
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Country | US
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Telephone | 919-820-8377
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Fax | 919-820-8149
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Authorized Official
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Title or Position | OWNER
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Name | LEMUEL SCOTT
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Credential | PMHNP
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Telephone | 919-820-8377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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