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NPI 1982140679

NPI 1982140679 : NIRVANA HEALTH & WELLNESS INC : WESTLAKE, OH

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General NPI Number Information
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    NPI Number           |    1982140679
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    Entity Type          |    Organization 
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    Legal Business Name  |    NIRVANA HEALTH & WELLNESS INC 
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Dates
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    Enumeration Date     |    01/18/2017
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    24700 CENTER RIDGE RD STE 230 
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-5682
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    Country              |    US
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    Telephone            |    440-872-6548
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    Fax                  |    440-360-7669
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Provider Business Mailing Address
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    Address Line         |    PO BOX 451005 
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-0624
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    Country              |    US
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    Telephone            |    440-872-6548
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    Fax                  |    440-360-7669
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. ADITYANJEE  ADITYANJEE 
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    Credential           |    MD
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    Telephone            |    440-872-6548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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