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General NPI Number Information
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NPI Number | 1942719950
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Entity Type | Organization
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Legal Business Name | PEAK WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 1 BUFFALO AVE NW STE 201
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City | CONCORD
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State | NC
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Zip | 28025-4004
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Country | US
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Telephone | 980-859-2230
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Fax | 980-206-4155
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Provider Business Mailing Address
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Address Line | 1 BUFFALO AVE NW STE 201
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City | CONCORD
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State | NC
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Zip | 28025-4004
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Country | US
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Telephone | 980-859-2230
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Fax | 980-206-4155
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SABINA BENEL
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Credential | DNP,PMHNP-BC,FNP-BC
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Telephone | 980-859-2230
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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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