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General NPI Number Information
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NPI Number | 1942198031
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Entity Type | Organization
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Legal Business Name | VERA WHOLE HEALTH CONNECTICUT PC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 399 FARMINGTON AVE STE 270
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City | FARMINGTON
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State | CT
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Zip | 06032-1979
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Country | US
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Telephone | 860-863-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W TOWNE RIDGE PKWY STE 200
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City | SANDY
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State | UT
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Zip | 84070-5530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSING ANALYST
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Name | VANYA ELLER
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Credential |
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Telephone | 206-395-7870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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