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General NPI Number Information
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NPI Number | 1437466992
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Entity Type | Organization
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Legal Business Name | PARTNERS IN HEALTH AND WELLBEING LLC
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Dates
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Enumeration Date | 09/04/2010
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 1601 CONCORD PIKE STE 68
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City | WILMINGTON
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State | DE
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Zip | 19803-3630
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Country | US
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Telephone | 302-655-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 CONCORD PIKE STE 68
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City | WILMINGTON
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State | DE
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Zip | 19803-3630
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Country | US
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Telephone | 302-655-2627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAN RUDZINSKI
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Credential |
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Telephone | 302-655-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001042
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License Number State | DE
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