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General NPI Number Information
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NPI Number | 1033738166
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Entity Type | Individual
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Provider Name | DANIELLE DEMI MCAFEE PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 94 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3013
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Country | US
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Telephone | 860-528-1359
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FERN DR
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City | PLANTSVILLE
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State | CT
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Zip | 06479-1808
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Country | US
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Telephone | 860-621-6492
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5185
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5185
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License Number State | CT
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