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General NPI Number Information
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NPI Number | 1538044227
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Entity Type | Organization
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Legal Business Name | WINTER AND WAVES WELLNESS LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 410-929-3231
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 LONG BLVD APT 105
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City | NASHVILLE
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State | TN
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Zip | 37203-1726
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Country | US
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Telephone | 240-274-7850
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE STUKEY
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Credential | LCSW-C
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Telephone | 410-929-3231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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