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NPI 1033884911

NPI 1033884911 : JENNIFER MARY DANIELI APRN : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1033884911
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER MARY DANIELI APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2021
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    Last Update Date     |    08/12/2021
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Provider Practice Location Address
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    Address Line         |    30 MILESTONE RD 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-5114
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    Country              |    US
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    Telephone            |    203-702-7400
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    Fax                  |    203-702-7401
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Provider Business Mailing Address
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    Address Line         |    145 WHITE BIRCH DR 
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    City                 |    SOUTHBURY
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    State                |    CT
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    Zip                  |    06488-2541
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    Country              |    US
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    Telephone            |    203-231-6663
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    9863
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    License Number State |    CT
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