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General NPI Number Information
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NPI Number | 1467119461
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Entity Type | Organization
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Legal Business Name | AGAPE WELLNESS CENTER
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 225 N CLIFTON AVE STE 8
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City | LOUISVILLE
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State | KY
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Zip | 40206-2438
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Country | US
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Telephone | 502-536-9278
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Fax | 502-290-4073
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Provider Business Mailing Address
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Address Line | 3044 BARDSTOWN RD # 287
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City | LOUISVILLE
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State | KY
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Zip | 40205-3020
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Country | US
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Telephone | 502-536-9278
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Fax | 502-290-4073
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANGELINA STRICKLAND
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Credential | APRN
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Telephone | 502-536-9278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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