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General NPI Number Information
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NPI Number | 1407660731
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Entity Type | Organization
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Legal Business Name | CT WELLNESS RN, LLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1610 WOODLAND DR
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City | VIENNA
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State | WV
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Zip | 26105-3320
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Country | US
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Telephone | 304-202-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 WOODLAND DR
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City | VIENNA
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State | WV
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Zip | 26105-3320
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Country | US
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Telephone | 304-202-4140
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANA SCHLEMMER
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Credential | RN, BSN, NBC-HNWC
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Telephone | 304-202-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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