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General NPI Number Information
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NPI Number | 1164695920
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Entity Type | Organization
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Legal Business Name | MINDFULNESS COMMUNITY & SOLUTIONS INC.
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 860 PROSPECT HILL RD STE 110
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City | WINDSOR
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State | CT
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Zip | 06095-1566
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Country | US
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Telephone | 860-677-7200
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Fax | 860-678-8132
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Provider Business Mailing Address
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Address Line | PO BOX 380416
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City | EAST HARTFORD
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State | CT
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Zip | 06138-0416
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Country | US
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Telephone | 860-677-7200
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Fax | 860-678-8132
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Authorized Official
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Title or Position | OWNER
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Name | ANN BURZYNSKI
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Credential | APRN
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Telephone | 860-677-7200
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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 | 00147
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License Number State | CT
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