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General NPI Number Information
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NPI Number | 1104581081
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Entity Type | Organization
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Legal Business Name | WHOLISTIC PERSPECTIVE
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 615 W JOHNSON AVE
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City | CHESHIRE
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State | CT
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Zip | 06410-4531
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Country | US
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Telephone | 860-398-9627
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Fax |
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Provider Business Mailing Address
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Address Line | 615 W JOHNSON AVE STE 202
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City | CHESHIRE
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State | CT
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Zip | 06410-4532
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Country | US
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Telephone | 860-398-9627
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ESHA BHARDWAJ
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Credential | PMHNP
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Telephone | 860-398-9627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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