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General NPI Number Information
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NPI Number | 1861634073
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Entity Type | Organization
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Legal Business Name | B-HEALTHY LLC
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 31 TOBEY RD OFC 2
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3521
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Country | US
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Telephone | 860-770-3208
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Fax | 866-734-8280
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Provider Business Mailing Address
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Address Line | PO BOX 2466
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City | HARTFORD
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State | CT
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Zip | 06146-2466
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Country | US
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Telephone | 860-770-3208
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Fax | 866-734-8280
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MS. IVETTE CORTES
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Credential | MBA
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Telephone | 860-770-3208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCA.0000678
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CT
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