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General NPI Number Information
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NPI Number | 1033816475
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Entity Type | Individual
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Provider Name | FIONA HART APRN
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 76 NEW BRITAIN AVE
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City | HARTFORD
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State | CT
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Zip | 06106-3305
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Country | US
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Telephone | 860-545-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 40 KNOLLWOOD LN
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City | WAYLAND
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State | MA
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Zip | 01778-4434
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Country | US
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Telephone | 774-270-3027
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2371476
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 13702
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License Number State | CT
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