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General NPI Number Information
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NPI Number | 1932939477
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Entity Type | Organization
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Legal Business Name | ANOINTED BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 304 W MAIN ST STE 2-1157
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City | AVON
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State | CT
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Zip | 06001-4355
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Country | US
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Telephone | 860-804-1646
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Fax |
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Provider Business Mailing Address
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Address Line | 196 MORNINGSIDE ST W
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City | HARTFORD
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State | CT
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Zip | 06112-1031
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Country | US
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Telephone | 860-804-1646
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Fax |
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | MR. MILTON JASON BROWN
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Credential | APRN
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Telephone | 860-804-1646
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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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