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General NPI Number Information
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NPI Number | 1518264522
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Entity Type | Organization
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Legal Business Name | HEALTHY WAYS LLC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 38B GROVE ST UNIT L-B
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4665
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Country | US
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Telephone | 203-431-1942
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Fax | 203-431-2688
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Provider Business Mailing Address
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Address Line | 38B GROVE ST UNIT L-B
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4665
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Country | US
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Telephone | 203-431-1942
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Fax | 203-431-2688
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Authorized Official
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Title or Position | OWNER
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Name | MR. TSVETOSLAV GLOUZGAL
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Credential |
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Telephone | 203-431-1942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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