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General NPI Number Information
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NPI Number | 1598608382
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Entity Type | Organization
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Legal Business Name | ELTON WELLNESS INC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 30 W MAIN ST STE 202
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City | WATERBURY
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State | CT
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Zip | 06702-2012
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Country | US
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Telephone | 475-233-1929
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Fax | 475-233-1953
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Provider Business Mailing Address
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Address Line | 30 W MAIN ST STE 202
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City | WATERBURY
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State | CT
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Zip | 06702-2012
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Country | US
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Telephone | 475-233-1929
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Fax | 475-233-1953
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | FUZAIL RIZVI
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Credential |
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Telephone | 571-225-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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