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General NPI Number Information
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NPI Number | 1407603061
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Entity Type | Organization
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Legal Business Name | TELEMIND PRIMARY HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 8300 GARFIELD BLVD
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City | GARFIELD HTS
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State | OH
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Zip | 44125-1232
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Country | US
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Telephone | 216-532-6744
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Fax |
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Provider Business Mailing Address
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Address Line | 7843 CREEKSIDE PKWY
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City | MACEDONIA
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State | OH
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Zip | 44056-1569
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Country | US
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Telephone | 216-532-6744
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NATAJLIA BENN
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Credential | NP
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Telephone | 216-532-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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 #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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