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General NPI Number Information
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NPI Number | 1528866050
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Entity Type | Organization
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Legal Business Name | CNP PRIMARY CARE AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1266 E MAIN ST STE 700R
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City | STAMFORD
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State | CT
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Zip | 06902-3507
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Country | US
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Telephone | 203-340-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 1266 E MAIN ST STE 700R
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City | STAMFORD
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State | CT
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Zip | 06902-3507
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Country | US
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Telephone | 203-340-0911
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSE NICOLE CASIMIR
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Credential | FNP-C
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Telephone | 203-621-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty 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 | 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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