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General NPI Number Information
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NPI Number | 1316788078
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Entity Type | Organization
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Legal Business Name | BMWHC FAMILY & PSYCHIATRIC HEALTHCARE SERVICES PC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 828 FEDERAL RD STE B
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City | BROOKFIELD
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State | CT
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Zip | 06804-1847
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Country | US
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Telephone | 800-611-0185
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Fax | 800-930-5241
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Provider Business Mailing Address
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Address Line | 828 FEDERAL RD STE B
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City | BROOKFIELD
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State | CT
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Zip | 06804-1847
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Country | US
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Telephone | 800-611-0185
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Fax | 800-930-5241
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Authorized Official
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Title or Position | ADMINISTRATIVE OFFICER
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Name | MARCO NAGUIB
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Credential | DBA, MSHI, MPH
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Telephone | 914-426-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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