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General NPI Number Information
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NPI Number | 1013562784
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Entity Type | Individual
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Provider Name | DANIELLE O'BRIEN APRN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | PLAINVILLE INTERNAL MEDICINE 120 WEST MAIN STREET
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City | PLAINVILLE
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State | CT
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Zip | 06062-1944
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Country | US
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Telephone | 860-747-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CLIFDON DR
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City | SIMSBURY
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State | CT
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Zip | 06070-1263
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Country | US
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Telephone | 203-554-7471
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 8379
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License Number State | CT
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