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General NPI Number Information
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NPI Number | 1326636283
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE PAIN AND WELLNESS SOLUTIONS LLC
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 100 CORPORATE DR UNIT A201
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City | TRUMBULL
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State | CT
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Zip | 06611-6344
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Country | US
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Telephone | 203-590-3041
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Fax |
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Provider Business Mailing Address
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Address Line | 114 PURDY HILL RD
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City | MONROE
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State | CT
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Zip | 06468-2244
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Country | US
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Telephone | 203-257-7746
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIE SHATTUCK HEHER
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Credential | APRN
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Telephone | 203-257-7746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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