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General NPI Number Information
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NPI Number | 1457250011
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Entity Type | Organization
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Legal Business Name | ALLUMEN HEALTH CENTER, LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 221 BOSTON POST RD E STE 365A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4819
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Country | US
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Telephone | 508-816-5758
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Fax |
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Provider Business Mailing Address
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Address Line | 221 BOSTON POST RD E STE 365A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4819
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Country | US
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Telephone | 508-816-5758
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. PATRICIA BONANNO
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Credential | FNP-BC
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Telephone | 508-816-5758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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