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General NPI Number Information
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NPI Number | 1134923931
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 51 LOCUST ST STE 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2045
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Country | US
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Telephone | 413-324-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 62 RIVER RD
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City | WARE
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State | MA
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Zip | 01082-9408
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Country | US
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Telephone | 413-324-6589
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Fax |
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Authorized Official
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Title or Position | MANAGER,
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Name | LYNN DEMERS
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Credential | APRN, FNP
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Telephone | 413-324-6589
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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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