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General NPI Number Information
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NPI Number | 1356270300
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Entity Type | Organization
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Legal Business Name | SELF INDULGENT LUXE: HEALTH & WELLNESS
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 4410 74TH AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20784-2222
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Country | US
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Telephone | 240-988-8502
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Fax |
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Provider Business Mailing Address
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Address Line | 11002 ATWELL AVE
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City | BOWIE
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State | MD
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Zip | 20720-3573
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Country | US
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Telephone | 240-906-9462
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JANAEL PALMER
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Credential | NP
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Telephone | 240-906-9462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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