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General NPI Number Information
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NPI Number | 1447042338
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Entity Type | Organization
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Legal Business Name | ALL GEN HEALTH AND WELLNESS
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 5620 SAINT BARNABAS RD
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City | OXON HILL
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State | MD
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Zip | 20745-3628
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Country | US
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Telephone | 240-493-6180
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Fax | 240-493-6224
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Provider Business Mailing Address
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Address Line | 5620 SAINT BARNABAS RD
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City | OXON HILL
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State | MD
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Zip | 20745-3628
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Country | US
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Telephone | 240-493-6180
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Fax | 240-493-6224
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE POWELL-GILLIS
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Credential | NP
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Telephone | 540-527-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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