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NPI 1598651226

NPI 1598651226 : RISEABOVE WELLNESS AND CARE LLC : LANCASTER, PA

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General NPI Number Information
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    NPI Number           |    1598651226
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISEABOVE WELLNESS AND CARE LLC 
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Dates
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    Enumeration Date     |    06/17/2025
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    1830 COLONIAL VILLAGE LN 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-6729
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    Country              |    US
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    Telephone            |    215-715-1223
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    Fax                  |    215-722-1718
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Provider Business Mailing Address
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    Address Line         |    1830 COLONIAL VILLAGE LN 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-6729
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    Country              |    US
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    Telephone            |    215-715-1223
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    Fax                  |    215-722-1718
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Authorized Official
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    Title or Position    |    PROVIDER/OWNER
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    Name                 |     MAUDELINE  PAUL 
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    Credential           |    CRNP
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    Telephone            |    215-715-1223
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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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