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General NPI Number Information
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NPI Number | 1619896313
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Entity Type | Organization
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Legal Business Name | TAPESTRYHEALTH ACCOUNTABLE CARE ORGANIZATION II LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 99 HAWLEY LN STE 1102
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City | STRATFORD
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State | CT
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Zip | 06614-1204
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Country | US
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Telephone | 203-666-8145
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Fax | 203-456-9793
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Provider Business Mailing Address
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Address Line | 99 HAWLEY LN STE 1102
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City | STRATFORD
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State | CT
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Zip | 06614-1204
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Country | US
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Telephone | 203-666-8145
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Fax | 203-456-9793
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ABE BERMAN
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Credential |
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Telephone | 203-666-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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