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General NPI Number Information
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NPI Number | 1124430087
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Entity Type | Organization
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Legal Business Name | MEDICATION MANAGEMENT SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 2553 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3021
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Country | US
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Telephone | 203-605-1595
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3021
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Country | US
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Telephone | 203-605-1595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE R MUZYKA
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Credential | APRN
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Telephone | 203-605-1595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 001759
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License Number State | CT
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