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General NPI Number Information
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NPI Number | 1962326173
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Entity Type | Organization
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Legal Business Name | NUVANA WELLNESS
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 1349 W PEACHTREE ST NW STE 1910
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City | ATLANTA
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State | GA
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Zip | 30309-2923
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Country | US
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Telephone | 404-620-5071
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 DRESDEN DR NE # 190068
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City | BROOKHAVEN
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State | GA
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Zip | 30319-3634
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Country | US
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Telephone | 404-620-5071
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TOCCARA HAYNES
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Credential | NP
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Telephone | 404-620-5071
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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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