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General NPI Number Information
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NPI Number | 1578489225
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Entity Type | Organization
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Legal Business Name | ABLE INTEGRATED HEALTH LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1934 OLD GALLOWS RD STE 322
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City | VIENNA
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State | VA
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Zip | 22182-4050
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Country | US
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Telephone | 703-947-0672
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Fax | 703-843-9601
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Provider Business Mailing Address
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Address Line | 1934 OLD GALLOWS RD STE 350
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City | VIENNA
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State | VA
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Zip | 22182-4050
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Country | US
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Telephone | 703-947-0672
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Fax | 703-843-9601
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TAWAKALITU OLANREWAJU
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Credential | DNP, PMHNP, FNP, MBA
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Telephone | 703-947-0672
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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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