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General NPI Number Information
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NPI Number | 1669372389
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Entity Type | Organization
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Legal Business Name | CLOVERLEA WELLNESS
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 805 TRAFALGAR RD
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City | BALTIMORE
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State | MD
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Zip | 21204-3805
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Country | US
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Telephone | 732-778-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 805 TRAFALGAR RD
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City | BALTIMORE
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State | MD
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Zip | 21204-3805
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Country | US
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Telephone | 732-778-3894
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED CLINICAL NUTRITIONI
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Name | ERIN PELL
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Credential | LDN, CNS
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Telephone | 732-778-3894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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