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General NPI Number Information
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NPI Number | 1548171382
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Entity Type | Organization
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Legal Business Name | A PURER DASANIS WELLNESS HOUSE L.C.
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 1372 E TANNERS CREEK DR APT 5
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City | NORFOLK
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State | VA
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Zip | 23513-1161
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Country | US
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Telephone | 347-575-8765
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Fax |
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Provider Business Mailing Address
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Address Line | 1372 E TANNERS CREEK DR APT 5
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City | NORFOLK
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State | VA
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Zip | 23513-1161
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Country | US
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Telephone | 347-575-8765
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Fax |
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | MISS DASANI A WILKERSN
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Credential |
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Telephone | 347-575-8765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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