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General NPI Number Information
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NPI Number | 1346946050
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Entity Type | Organization
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Legal Business Name | CONNECTED WELLNESS, LLC
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1200 STEUART ST APT 1039-B
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City | BALTIMORE
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State | MD
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Zip | 21230-5317
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Country | US
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Telephone | 301-401-9187
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | MONROVIA
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State | MD
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Zip | 21770-0188
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Country | US
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Telephone | 301-401-9187
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. ANDREA LYNN MORLEY
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Credential | PSYD
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Telephone | 301-401-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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