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General NPI Number Information
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NPI Number | 1891623914
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH PSYCHIATRY & WELLNESS PLLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 13506 E BOUNDARY RD STE A
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-3974
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Country | US
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Telephone | 804-312-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 7377 NICKLAUS CIR
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City | MOSELEY
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State | VA
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Zip | 23120-1680
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Country | US
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Telephone | 804-312-7685
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HAILEGIORGIS TEKLEGIORGIS BIZUNEH
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Credential | PMHNP
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Telephone | 804-312-7685
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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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