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General NPI Number Information
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NPI Number | 1114146115
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Entity Type | Organization
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Legal Business Name | NORTHWEST FIRST ASSISTING LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26 COVENTRY LN
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City | HARWINTON
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State | CT
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Zip | 06791-2413
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Country | US
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Telephone | 860-485-2761
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Fax | 888-329-6432
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Provider Business Mailing Address
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Address Line | 26 COVENTRY LN
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City | HARWINTON
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State | CT
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Zip | 06791-2413
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Country | US
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Telephone | 860-485-2761
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Fax | 888-329-6432
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA OLSON
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Credential | RNFA
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Telephone | 860-485-2761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | E51604
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License Number State | CT
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