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General NPI Number Information
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NPI Number | 1396259602
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Entity Type | Organization
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Legal Business Name | DOUGAN AND WALDEN WELLNESS, PLLC
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 312 BROWNS HILL CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-9511
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Country | US
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Telephone | 804-893-5555
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Fax | 804-893-5553
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Provider Business Mailing Address
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Address Line | 312 BROWNS HILL CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-9511
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Country | US
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Telephone | 804-893-5555
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Fax | 804-893-5553
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Authorized Official
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Title or Position | CO-OWNER/PSYCHOLOGIST
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Name | DR. JEREMY TODD WALDEN
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Credential | PSYD, LCP
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Telephone | 804-893-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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