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General NPI Number Information
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NPI Number | 1124725429
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Entity Type | Organization
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Legal Business Name | TRUHEALTH MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 120 LONGVIEW DR
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City | STRATFORD
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State | CT
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Zip | 06614-1398
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Country | US
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Telephone | 908-967-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 120 LONGVIEW DR
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City | STRATFORD
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State | CT
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Zip | 06614-1398
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Country | US
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Telephone | 908-967-8223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEISHA ASANTE
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Credential | FNP
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Telephone | 908-967-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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