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General NPI Number Information
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NPI Number | 1861149569
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Entity Type | Organization
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Legal Business Name | ELLEN A LATOUR, DNP, LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 88 YEOMAN AVE
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City | WESTFIELD
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State | MA
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Zip | 01085-1024
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Country | US
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Telephone | 413-478-4668
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Fax |
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Provider Business Mailing Address
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Address Line | 88 YEOMAN AVE
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City | WESTFIELD
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State | MA
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Zip | 01085-1024
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Country | US
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Telephone | 413-478-4668
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Fax |
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Authorized Official
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Title or Position | NP
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Name | ELLEN ANN LATOUR
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Credential | DNP, A/GNP-PMHNP
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Telephone | 413-478-4668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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