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General NPI Number Information
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NPI Number | 1588246730
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH PSYCHIATRIC CARE PLC
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 2204 CAMBRIDGE PL
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City | LYNCHBURG
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State | VA
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Zip | 24503-4204
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Country | US
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Telephone | 434-851-6404
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3533
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City | LYNCHBURG
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State | VA
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Zip | 24503-0533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA CLEMENT-DEFALCO
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Credential |
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Telephone | 434-851-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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