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General NPI Number Information
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NPI Number | 1679215008
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Entity Type | Organization
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Legal Business Name | INNER HEALTH & HEALING OF NY AND CT
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 105 DANBURY RD STE 202
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4148
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Country | US
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Telephone | 203-403-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 109 DANBURY RD STE 4
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4109
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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 | OFFICE MANAGER
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Name | AUSTIN MACCHIAROLI
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Credential |
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Telephone | 203-403-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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