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General NPI Number Information
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NPI Number | 1801601687
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Entity Type | Organization
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Legal Business Name | RESILIENCE PSYCHIATRY & WELLNESS LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 46179 WESTLAKE DR STE 220
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City | STERLING
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State | VA
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Zip | 20165-5874
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Country | US
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Telephone | 571-918-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 46179 WESTLAKE DR STE 220
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City | STERLING
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State | VA
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Zip | 20165-5874
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Country | US
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Telephone | 571-918-1279
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BAFFOUR AGYEMAN-DUAH
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Credential | PNP
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Telephone | 703-501-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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