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General NPI Number Information
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NPI Number | 1093263774
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Entity Type | Organization
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Legal Business Name | WOMEN'S INTUITION AND SELF HEALING, LLC
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 764 E MAIN ST APT B
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City | BRANFORD
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State | CT
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Zip | 06405-2921
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Country | US
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Telephone | 475-221-8939
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Fax | 866-223-1724
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Provider Business Mailing Address
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Address Line | 764 E MAIN ST APT B
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City | BRANFORD
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State | CT
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Zip | 06405-2921
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Country | US
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Telephone | 475-221-8939
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Fax | 866-223-1724
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHAWN KIRSTEN POLIZZI
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Credential | APRN
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Telephone | 475-221-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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