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General NPI Number Information
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NPI Number | 1689553711
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Entity Type | Organization
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Legal Business Name | HEALING VALLEY WELLNESS & PRIMARY CARE, LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 106 PEARL DR STE 107
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City | LA FAYETTE
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State | GA
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Zip | 30728-7510
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Country | US
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Telephone | 706-400-6707
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Fax | 706-400-6491
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Provider Business Mailing Address
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Address Line | 4685 HAPPY VALLEY RD UNIT 275
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City | FLINTSTONE
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State | GA
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Zip | 30725-2273
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Country | US
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Telephone | 706-400-6707
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Fax | 706-400-6491
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TERESA ANN NOVAK
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Credential | MSN, FNP-C
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Telephone | 423-432-6052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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