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General NPI Number Information
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NPI Number | 1497112585
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Entity Type | Organization
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Legal Business Name | BEE WELL HOUSE CALLS, LLC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 21 CHURCH ST
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City | NAUGATUCK
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State | CT
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Zip | 06770-4111
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Country | US
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Telephone | 203-525-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PEACH DR
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City | SEYMOUR
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State | CT
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Zip | 06483-2013
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Country | US
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Telephone | 203-525-8052
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Fax |
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Authorized Official
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Title or Position | COOWNER
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Name | LORI PELOSI
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Credential | APRN
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Telephone | 203-525-8052
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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 | 12004866
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 005149
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License Number State | CT
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