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General NPI Number Information
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NPI Number | 1164113114
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Entity Type | Organization
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Legal Business Name | CLEARVIEW WELLNESS LLC
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 21 W MAIN ST FL 4
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City | WATERBURY
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State | CT
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Zip | 06702-2013
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Country | US
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Telephone | 203-754-8000
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Fax | 203-841-0304
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Provider Business Mailing Address
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Address Line | 21 W MAIN ST FL 4
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City | WATERBURY
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State | CT
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Zip | 06702-2013
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Country | US
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Telephone | 203-754-8000
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Fax | 203-841-0304
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | REGINA M DANIELS
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Credential | APRN
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Telephone | 203-560-5472
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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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