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General NPI Number Information
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NPI Number | 1689348534
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Entity Type | Organization
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Legal Business Name | COLLABORATION HEALTHCARE CORP
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 725 PARK AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-4619
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Country | US
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Telephone | 203-947-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 807 SMITH RIDGE RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-3230
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Country | US
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Telephone | 203-947-2147
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | IRENE A BIHL
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Credential | DNP, APRN
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Telephone | 203-947-2147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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