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General NPI Number Information
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NPI Number | 1235933284
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Entity Type | Organization
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Legal Business Name | PRIVE-SWISS INC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 57 MAIN ST
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City | IVORYTON
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State | CT
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Zip | 06442-1005
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Country | US
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Telephone | 323-697-7278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 606
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City | ESSEX
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State | CT
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Zip | 06426-0606
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Country | US
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Telephone | 323-697-7278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEIDI KUNZLI
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Credential | LADC
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Telephone | 800-866-2948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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