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General NPI Number Information
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NPI Number | 1053967463
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Entity Type | Individual
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Provider Name | JOHN KEMP APRN
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Gender | Male
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 2 CLIFF ST
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City | NORWICH
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State | CT
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Zip | 06360-5850
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Country | US
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Telephone | 860-887-6536
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Fax | 860-823-3856
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Provider Business Mailing Address
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Address Line | 49 SCOTT HILL RD
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City | BOZRAH
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State | CT
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Zip | 06334-1210
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Country | US
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Telephone | 860-334-8030
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8342
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License Number State | CT
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