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General NPI Number Information
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NPI Number | 1447199120
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Entity Type | Organization
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Legal Business Name | PRIME HEALTH LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 491 N MAIN ST
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City | NAUGATUCK
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State | CT
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Zip | 06770-3032
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Country | US
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Telephone | 860-792-4704
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Fax |
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Provider Business Mailing Address
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Address Line | 41 CRESCENT ST
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City | WATERBURY
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State | CT
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Zip | 06710-1609
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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 | AUTHORIZED OFFICIAL
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Name | MICHELLE SYTNER
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Credential | APRN-NP
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Telephone | 347-452-8759
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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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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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