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General NPI Number Information
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NPI Number | 1780534149
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Entity Type | Organization
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Legal Business Name | OMNIWELLNESS
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 440 MONTICELLO AVE STE 1802
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City | NORFOLK
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State | VA
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Zip | 23510-2670
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Country | US
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Telephone | 804-596-2191
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Fax | 804-207-6570
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Provider Business Mailing Address
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Address Line | 440 MONTICELLO AVE STE 1802
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City | NORFOLK
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State | VA
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Zip | 23510-2670
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Country | US
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Telephone | 804-596-2191
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Fax | 804-207-6570
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KAYLA COLEMAN
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Credential | NURSE PRACTITIONER
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Telephone | 804-596-2191
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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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