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NPI 1043616881

NPI 1043616881 : CHRISTINE B PARANAL APRN : WEST HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1043616881
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE B PARANAL APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/05/2014
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    Last Update Date     |    04/23/2018
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Provider Practice Location Address
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    Address Line         |    150 ARLINGTON ST 
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    City                 |    WEST HAVEN
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    State                |    CT
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    Zip                  |    06516-6405
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    Country              |    US
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    Telephone            |    203-934-2691
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9201 E MOUNTAIN VIEW RD STE 220
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5172
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    Country              |    US
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    Telephone            |    203-934-2691
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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       |    5973
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    License Number State |    CT
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