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General NPI Number Information
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NPI Number | 1649049040
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Entity Type | Organization
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Legal Business Name | YOU ARE AMAZING HEALTH AND WELLNESS
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 5033 SELWOOD RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4245
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Country | US
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Telephone | 804-878-3518
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Fax | 855-632-1705
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Provider Business Mailing Address
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Address Line | 5033 SELWOOD RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4245
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Country | US
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Telephone | 804-878-3518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH BRAXTON
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Credential | NP
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Telephone | 804-878-3518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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