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General NPI Number Information
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NPI Number | 1306743026
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Entity Type | Organization
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Legal Business Name | CONCIOUS WELLNESS LLC
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | 1930 18TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-1796
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Country | US
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Telephone | 240-734-3171
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Fax |
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Provider Business Mailing 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 | 240-734-3171
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Fax | 240-394-1609
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Authorized Official
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Title or Position | OWNER
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Name | TASHANIYI BYRD
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Credential | NP
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Telephone | 240-734-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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