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General NPI Number Information
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NPI Number | 1134008329
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Entity Type | Organization
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Legal Business Name | HOLISTICALLY WOMEN LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 25 MAPLESHADE AVE
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2312
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Country | US
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Telephone | 443-557-8083
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MAPLESHADE AVE
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. UCHECHI ESOCHAGHI-ANNANG
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Credential | DNP, FNP-BC
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Telephone | 443-557-8083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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