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General NPI Number Information
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NPI Number | 1386508893
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Entity Type | Organization
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Legal Business Name | S&S MEDICAL WELLNESS SERVICES
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 509 TWINRIDGE LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5266
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Country | US
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Telephone | 804-316-1204
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Fax |
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Provider Business Mailing Address
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Address Line | 11637 PARRISH CREEK LN
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City | CHESTERFIELD
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State | VA
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Zip | 23832-4074
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Country | US
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Telephone | 804-316-1204
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ERICA WILLIAMS
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Credential | NP
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Telephone | 804-316-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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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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