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General NPI Number Information
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NPI Number | 1841763901
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Entity Type | Organization
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Legal Business Name | MINDING YOUR HEALTH, LLC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 457 BANTAM RD STE 9
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City | LITCHFIELD
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State | CT
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Zip | 06759-3225
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Country | US
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Telephone | 860-262-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 560 MICHELLE LN
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City | THOMASTON
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State | CT
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Zip | 06787-1289
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Country | US
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Telephone | 860-880-8111
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER A NOLAN
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Credential | APRN
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Telephone | 860-880-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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