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General NPI Number Information
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NPI Number | 1326469024
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Entity Type | Organization
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Legal Business Name | SUGATI HEALTH AND WELLNESS
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 37 W TOWN ST
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City | LEBANON
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State | CT
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Zip | 06249-1536
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Country | US
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Telephone | 860-281-7489
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Fax | 860-642-4740
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Provider Business Mailing Address
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Address Line | 37 W TOWN ST
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City | LEBANON
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State | CT
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Zip | 06249-1536
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Country | US
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Telephone | 860-281-7489
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Fax | 860-642-4740
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Authorized Official
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Title or Position | NATUROPATHIC PHYSICIAN
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Name | DR. JONATHAN ROBERT RITZ
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Credential | N.D.
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Telephone | 860-281-7489
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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 | CT00482
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License Number State | CT
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