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General NPI Number Information
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NPI Number | 1851211437
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Entity Type | Organization
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Legal Business Name | EQUANIMITY HOLISTIC HEALTH LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 7500 HARFORD RD STE 1
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City | PARKVILLE
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State | MD
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Zip | 21234-6900
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Country | US
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Telephone | 443-708-8139
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Fax | 240-241-6360
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Provider Business Mailing Address
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Address Line | 7500 HARFORD RD STE 1
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City | PARKVILLE
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State | MD
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Zip | 21234-6900
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Country | US
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Telephone | 443-708-8139
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Fax | 240-241-6360
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Authorized Official
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Title or Position | OWNER
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Name | MR. TAVIN PARKER
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Credential |
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Telephone | 404-980-4808
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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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