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General NPI Number Information
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NPI Number | 1831827088
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Entity Type | Organization
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Legal Business Name | HOLISTIQ HEALTH, LLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 13007 TRENTDALE DR
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City | WOODBRIDGE
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State | VA
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Zip | 22193-4173
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Country | US
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Telephone | 703-568-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 2098 MAYFLOWER DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2317
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Country | US
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Telephone | 703-568-2164
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | FRANCOISE BISSAI
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Credential | PMHNP, FNP, DNP
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Telephone | 703-568-2164
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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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Taxonomy #2
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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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