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General NPI Number Information
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NPI Number | 1003611013
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Entity Type | Individual
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Provider Name | KENTRONE VINES AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-688-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 351 KETTLETOWN RD
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City | SOUTHBURY
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State | CT
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Zip | 06488-2637
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Country | US
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Telephone | 914-608-4000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 14470
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License Number State | CT
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