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General NPI Number Information
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NPI Number | 1366309213
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Entity Type | Organization
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Legal Business Name | WELLNESSJET MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 8115 MAPLE LAWN BLVD STE 350
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City | FULTON
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State | MD
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Zip | 20759-2683
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Country | US
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Telephone | 240-281-0736
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Fax |
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Provider Business Mailing Address
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Address Line | 8115 MAPLE LAWN BLVD STE 350
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City | FULTON
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State | MD
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Zip | 20759-2683
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BEATRICE ATANGA
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Credential |
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Telephone | 240-281-0736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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