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General NPI Number Information
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NPI Number | 1558050484
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE PATHWAYS
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 587 BURNSIDE AVE
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3537
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Country | US
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Telephone | 860-248-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 40 HIGHCREST TER
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City | ROSLINDALE
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State | MA
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Zip | 02131-4827
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Country | US
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Telephone | 860-248-9007
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | NIC'COLE LAMBERT-TALHAOUI
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Credential | APRN
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Telephone | 860-248-9007
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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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