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General NPI Number Information
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NPI Number | 1497614655
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Entity Type | Organization
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Legal Business Name | PEP WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 748 MARKET ST # 225
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City | TACOMA
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State | WA
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Zip | 98402-3737
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Country | US
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Telephone | 253-559-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 748 MARKET ST # 225
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City | TACOMA
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State | WA
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Zip | 98402-3737
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Country | US
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Telephone | 253-559-0302
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | EKAETE EDET OKON
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Credential | PMHNP-BC
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Telephone | 713-658-5720
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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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