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General NPI Number Information
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NPI Number | 1720479926
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Entity Type | Organization
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Legal Business Name | INSTINCTIVE WELLNESS, LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 312 PARK ROW
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1550
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Country | US
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Telephone | 410-990-1202
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Fax | 410-990-1203
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Provider Business Mailing Address
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Address Line | 312 PARK ROW
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1550
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Country | US
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Telephone | 410-990-1202
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Fax | 410-990-1203
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Authorized Official
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Title or Position | NURSE PRACTITIONER / OWNER
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Name | DEBORAH M REID
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Credential | BC-FNP
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Telephone | 410-990-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R213017
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License Number State | MD
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