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General NPI Number Information
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NPI Number | 1619804218
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Entity Type | Organization
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Legal Business Name | BLUE ZONE HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 800 MAIN ST S STE 215D
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City | SOUTHBURY
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State | CT
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Zip | 06488-4210
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Country | US
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Telephone | 475-290-3233
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Fax | 475-290-3244
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Provider Business Mailing Address
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Address Line | 800 MAIN ST S STE 215D
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City | SOUTHBURY
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State | CT
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Zip | 06488-4210
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Country | US
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Telephone | 475-290-3233
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Fax | 475-290-3244
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | MIGUEL FILIPE ROSA
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Credential | DNP, APRN, FNP-BC
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Telephone | 475-290-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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