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General NPI Number Information
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NPI Number | 1609685478
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Entity Type | Organization
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Legal Business Name | GOOD MORNING GODDESS LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 711 FARMINGTON AVE APT A2
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1737
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Country | US
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Telephone | 860-404-6066
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Fax |
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Provider Business Mailing Address
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Address Line | 711 FARMINGTON AVE APT A2
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHANTELLE JOHNSON
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Credential | HBC-HWC, SFC, CPT
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Telephone | 860-478-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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