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General NPI Number Information
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NPI Number | 1851088041
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Entity Type | Organization
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Legal Business Name | PEAK WELLNESS, INC.
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 195 FIELD POINT RD
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City | GREENWICH
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State | CT
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Zip | 06830-2801
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Country | US
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Telephone | 203-625-9608
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Fax | 203-629-0589
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Provider Business Mailing Address
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Address Line | 195 FIELD POINT RD
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City | GREENWICH
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State | CT
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Zip | 06830-2801
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Country | US
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Telephone | 203-625-9608
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Fax | 203-629-0589
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. CARLON MORSE COLKER
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Credential | MD
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Telephone | 203-550-2960
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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 |
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License Number State |
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