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General NPI Number Information
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NPI Number | 1811883010
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Entity Type | Organization
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Legal Business Name | DIABETES INSIGHT AND WEIGHT MANAGEMENT
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 112 SPENCER ST STE 2A
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City | MANCHESTER
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State | CT
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Zip | 06040-4601
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Country | US
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Telephone | 959-301-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SPENCER ST STE 2A
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City | MANCHESTER
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State | CT
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Zip | 06040-4601
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Country | US
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Telephone | 959-301-9075
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Fax | 860-413-0863
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Authorized Official
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Title or Position | OWNER
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Name | SHERINE SOLOMON
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Credential | NP-BC
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Telephone | 845-242-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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