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General NPI Number Information
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NPI Number | 1639113319
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Entity Type | Organization
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Legal Business Name | ECHN WELLNESS SERVICES, INC.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2800 TAMARACK DRIVE SUITE 001
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074
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Country | US
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Telephone | 860-533-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 TAMARACK DRIVE SUITE 001
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074
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Country | US
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Telephone | 860-533-4646
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PETER KARL
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Credential |
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Telephone | 860-646-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0197
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0442
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License Number State | CT
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