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General NPI Number Information
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NPI Number | 1346110616
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Entity Type | Organization
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Legal Business Name | HEARTWELL LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 55 ELM ST STE 5
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City | CHESHIRE
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State | CT
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Zip | 06410-2809
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Country | US
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Telephone | 203-638-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 LITCHFIELD TPKE
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YASSER SHEHATA
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Credential |
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Telephone | 203-638-4543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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