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General NPI Number Information
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NPI Number | 1528705530
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH WELLNESS GROUP LLC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 10/06/2024
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Provider Practice Location Address
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Address Line | 815 RITCHIE HWY STE 205
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4164
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Country | US
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Telephone | 443-367-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SAINT CHARLES WAY UNIT E BOX 372
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City | YORK
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State | PA
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Zip | 17402-4646
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Country | US
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Telephone | 443-367-1333
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RYAN K
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Credential |
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Telephone | 443-367-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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