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General NPI Number Information
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NPI Number | 1740106392
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Entity Type | Organization
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Legal Business Name | CMD HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 1118 11TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-3546
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Country | US
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Telephone | 304-360-3864
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Fax | 304-949-8542
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Provider Business Mailing Address
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Address Line | 1118 11TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-3546
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Country | US
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Telephone | 304-360-3864
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Fax | 304-949-8542
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MAEGEN BRENNAN
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Credential | MSN, APRN, FNP-BC
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Telephone | 304-360-3864
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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 |
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License Number State |
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