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General NPI Number Information
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NPI Number | 1528980091
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Entity Type | Organization
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Legal Business Name | LUVINTEGRATED MENTAL HEALTH & WELLNESS
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1709 CEDAR ST
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City | POCOMOKE CITY
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State | MD
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Zip | 21851-9504
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Country | US
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Telephone | 410-994-7704
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | POCOMOKE CITY
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State | MD
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Zip | 21851-0171
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Country | US
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Telephone | 410-994-7704
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. RONNIE M CLARK
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Credential | PMHNP
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Telephone | 443-497-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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