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NPI 1427536101

NPI 1427536101 : MAR Y SOL MENTAL HEALTH EXPERTS LLC : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1427536101
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAR Y SOL MENTAL HEALTH EXPERTS LLC 
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Dates
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    Enumeration Date     |    08/03/2018
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    Last Update Date     |    10/23/2024
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Provider Practice Location Address
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    Address Line         |    46 FEDERAL RD STE D 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-6197
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    Country              |    US
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    Telephone            |    203-456-6989
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    Fax                  |    203-826-7647
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Provider Business Mailing Address
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    Address Line         |    46 FEDERAL RD STE D 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-6197
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    Country              |    US
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    Telephone            |    203-456-6989
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    Fax                  |    203-826-7647
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     AURA MARIZOL ARDON 
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    Credential           |    MD
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    Telephone            |    718-290-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    
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    License Number State |    
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