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General NPI Number Information
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NPI Number | 1457222564
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Entity Type | Organization
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Legal Business Name | PROXIMA SOLUTIONS INC
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 112 SOUTHFIELD AVE APT 506
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City | STAMFORD
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State | CT
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Zip | 06902-7665
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Country | US
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Telephone | 718-841-7744
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Fax | 718-228-9549
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Provider Business Mailing Address
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Address Line | 112 SOUTHFIELD AVE APT 506
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City | STAMFORD
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State | CT
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Zip | 06902-7665
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Country | US
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Telephone | 718-841-7744
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Fax | 718-228-9549
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Authorized Official
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Title or Position | MANAGER
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Name | GUERRECHON CHATELAIN
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Credential |
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Telephone | 718-841-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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