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General NPI Number Information
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NPI Number | 1336061993
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Entity Type | Organization
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Legal Business Name | COMPLETE WELLNESS FAMILY CARE CLINIC LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 8117 HARFORD RD STE B
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City | PARKVILLE
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State | MD
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Zip | 21234-5793
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Country | US
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Telephone | 410-275-0993
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Fax | 667-279-6544
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Provider Business Mailing Address
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Address Line | 11 AMYS WAY CT
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City | PARKVILLE
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State | MD
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Zip | 21234-1359
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Country | US
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Telephone | 410-275-0993
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Fax | 667-279-6544
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Authorized Official
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Title or Position | CRNP/FNP
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Name | CECILIA EKWUNAZU
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Credential | FNP-BC
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Telephone | 443-248-6386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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