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General NPI Number Information
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NPI Number | 1528839180
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Entity Type | Organization
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Legal Business Name | NURTURING WELLNESS PLLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 106 N FRENCH ST STE 210-4
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-5690
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Country | US
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Telephone | 720-689-5481
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SMITH RANCH RD
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City | SILVERTHORNE
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State | CO
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Zip | 80498-9270
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Country | US
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Telephone | 601-397-3892
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA LANDRUM
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Credential |
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Telephone | 601-397-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #5
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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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