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General NPI Number Information
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NPI Number | 1487450607
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Entity Type | Organization
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Legal Business Name | BC WHOLISTIC HEALTH CARE
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1324 PADDOCK LN
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City | BOWIE
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State | MD
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Zip | 20716-1808
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Country | US
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Telephone | 202-297-1154
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Fax | 301-249-4813
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Provider Business Mailing Address
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Address Line | 1324 PADDOCK LN
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City | BOWIE
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State | MD
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Zip | 20716-1808
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Country | US
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Telephone | 202-297-1154
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Fax | 301-249-4813
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA R BARKSDALE
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Credential | CRNP
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Telephone | 866-389-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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