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General NPI Number Information
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NPI Number | 1386444875
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Entity Type | Organization
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Legal Business Name | HOLISTIC WELLNESS
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 3618 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21211-1846
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Country | US
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Telephone | 443-853-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 2453 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-5018
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Country | US
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Telephone | 443-853-8686
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AMARIS MURRAY
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Credential | CRNP
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Telephone | 443-762-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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