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General NPI Number Information
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NPI Number | 1699557652
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Entity Type | Organization
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Legal Business Name | WELLCARE HOLISTICS
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 123 MAIN ST
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City | MATAWAN
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State | NJ
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Zip | 07747-2664
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Country | US
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Telephone | 973-963-4402
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Fax | 973-363-4742
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Provider Business Mailing Address
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Address Line | 41 CENTER ST STE 106
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City | FREEHOLD
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State | NJ
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Zip | 07728-2220
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Country | US
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Telephone | 973-963-4402
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Fax | 973-363-4742
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. PATRICIA ELIACIN
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Credential | DNP
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Telephone | 973-963-4402
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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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Taxonomy #2
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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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