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General NPI Number Information
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NPI Number | 1366314262
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Entity Type | Organization
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Legal Business Name | KEEP PUSHING WELLNESS
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 621 NW 53RD ST
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City | BOCA RATON
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State | FL
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Zip | 33487-8235
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Country | US
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Telephone | 561-235-2935
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 BARBADOS RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6731
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Country | US
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Telephone | 954-461-6844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEL MARUJA WALKER
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Credential | LMHC
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Telephone | 954-461-6844
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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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