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General NPI Number Information
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NPI Number | 1205783073
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Entity Type | Organization
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Legal Business Name | NOVAL WELLNESS PLLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2068 BRIDGEPORT AVE STE D
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City | MILFORD
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State | CT
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Zip | 06460-4634
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Country | US
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Telephone | 475-549-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 2068 BRIDGEPORT AVE STE D
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City | MILFORD
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State | CT
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Zip | 06460-4634
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Country | US
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Telephone | 475-549-1260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANDEL REITH
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Credential | APRN
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Telephone | 814-251-5810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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