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General NPI Number Information
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NPI Number | 1619835766
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Entity Type | Organization
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Legal Business Name | AGEWELL SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 668 SPRINGFIELD AVE
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-1056
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Country | US
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Telephone | 973-392-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 668 SPRINGFIELD AVE
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-1056
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Country | US
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Telephone | 973-392-0784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARISSA BRAND-FIGUEROA
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Credential | THERAPIST
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Telephone | 973-392-0784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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