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General NPI Number Information
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NPI Number | 1669303954
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Entity Type | Organization
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Legal Business Name | ONE WELLNESS LLC
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 350 INDIANA ST
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City | GOLDEN
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State | CO
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Zip | 80401-5050
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Country | US
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Telephone | 720-594-6962
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Fax |
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Provider Business Mailing Address
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Address Line | 350 INDIANA ST STE 550
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City | GOLDEN
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State | CO
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Zip | 80401-6569
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Country | US
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Telephone | 720-594-6962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEIRDRE FRALLER
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Credential | DNP, ANP, PMHNP-BC
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Telephone | 720-745-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health 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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