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General NPI Number Information
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NPI Number | 1780362095
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Entity Type | Organization
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Legal Business Name | MERIDIEN WELLNESS, LLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1807 HUGUENOT RD STE 117
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-5604
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Country | US
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Telephone | 804-381-0351
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Fax | 804-207-8901
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Provider Business Mailing Address
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Address Line | 1807 HUGUENOT RD STE 117
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-5604
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Country | US
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Telephone | 804-381-0351
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Fax | 804-207-8901
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE SIDBURY JR.
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Credential | DHA
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Telephone | 301-928-8496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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