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General NPI Number Information
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NPI Number | 1275459661
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Entity Type | Organization
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Legal Business Name | RADIANT WELLNESS CENTER
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2447 WHITNEY AVE STE 103
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City | HAMDEN
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State | CT
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Zip | 06518-3211
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Country | US
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Telephone | 203-804-1978
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Fax | 475-219-6512
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Provider Business Mailing Address
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Address Line | 2447 WHITNEY AVE STE 103
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City | HAMDEN
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State | CT
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Zip | 06518-3211
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Country | US
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Telephone | 203-804-1978
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Fax | 475-219-6512
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Authorized Official
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Title or Position | OWNER
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Name | NEZHA ELOMARI
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Credential | APRN, PMHNP-BC
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Telephone | 203-804-1978
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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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