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General NPI Number Information
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NPI Number | 1720939473
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH SERVICE LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 5900 YORK RD STE 206
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City | BALTIMORE
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State | MD
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Zip | 21212-3098
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Country | US
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Telephone | 678-641-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 11202 MARWOOD HILL DR
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City | POTOMAC
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State | MD
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Zip | 20854-1241
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Country | US
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Telephone | 678-641-3444
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. NADINE TOKO
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Credential |
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Telephone | 678-641-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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