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General NPI Number Information
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NPI Number | 1891678108
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Entity Type | Organization
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Legal Business Name | BLUES AND BLAHS PLLC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 38 BERWYN ST
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City | MILFORD
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State | CT
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Zip | 06461-4010
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Country | US
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Telephone | 203-571-3233
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Fax | 801-752-0632
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Provider Business Mailing Address
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Address Line | 38 BERWYN ST
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City | MILFORD
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State | CT
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Zip | 06461-4010
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Country | US
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Telephone | 203-571-3233
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Fax | 801-752-0632
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | NELSON LEACH
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Credential |
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Telephone | 203-571-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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 #3
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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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Taxonomy #4
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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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