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General NPI Number Information
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NPI Number | 1629732995
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Entity Type | Organization
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Legal Business Name | WELLNESS GARDEN, PLLC
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Dates
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Enumeration Date | 10/23/2021
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 6218 GEORGIA AVE NW STE 1-433
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City | WASHINGTON
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State | DC
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Zip | 20011-5125
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Country | US
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Telephone | 202-677-3149
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 GEORGIA AVE NW STE 1-433
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City | WASHINGTON
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State | DC
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Zip | 20011-5125
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Country | US
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Telephone | 202-677-3149
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ISOKE BAPTISTE
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Credential | NP
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Telephone | 301-806-1859
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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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