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General NPI Number Information
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NPI Number | 1366044331
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Entity Type | Organization
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Legal Business Name | NATURAL GREEN HEALING, LLC
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 201 PROSPECT AVE STE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 877-225-8637
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Fax | 240-634-8033
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Provider Business Mailing Address
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Address Line | 201 PROSPECT AVE STE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 877-225-8637
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Fax | 240-634-8033
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL BELLE
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Credential | PMHNP-BC
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Telephone | 877-225-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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