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General NPI Number Information
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NPI Number | 1316761562
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Entity Type | Organization
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Legal Business Name | ORI WELLNESS L.L.C.
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 4500 FORBES BLVD STE 400
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City | LANHAM
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State | MD
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Zip | 20706-6331
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Country | US
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Telephone | 240-257-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 3227 75TH AVE APT 303
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City | HYATTSVILLE
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State | MD
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Zip | 20785-1906
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Country | US
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Telephone | 909-436-7627
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. TYNE ORI
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Credential | PHD
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Telephone | 909-436-7627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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