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General NPI Number Information
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NPI Number | 1558982421
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR AYURVEDIC AND NATUROPATHIC THERAPIES
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Dates
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Enumeration Date | 05/02/2020
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Last Update Date | 05/02/2020
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Provider Practice Location Address
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Address Line | 805 KINGS HWY E
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City | FAIRFIELD
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State | CT
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Zip | 06825-5419
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Country | US
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Telephone | 203-331-9111
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Fax | 203-331-9335
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Provider Business Mailing Address
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Address Line | 805 KINGS HWY E
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City | FAIRFIELD
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State | CT
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Zip | 06825-5419
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Country | US
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Telephone | 203-331-9111
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Fax | 203-331-9335
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | MR. SAGAR NIKHIL KAUSHIK
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Credential | MPH
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Telephone | 203-331-9111
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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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