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General NPI Number Information
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NPI Number | 1063700995
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Entity Type | Individual
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Provider Name | JULIE SACHARKO APRN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 225 N MAIN ST STE 101
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City | BRISTOL
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State | CT
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Zip | 06010-4993
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Country | US
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Telephone | 860-920-4979
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Fax | 833-471-4212
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Provider Business Mailing Address
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Address Line | 225 N MAIN ST STE 101
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City | BRISTOL
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State | CT
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Zip | 06010-4993
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Country | US
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Telephone | 860-920-4979
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Fax | 833-471-4212
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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 | 4784
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | E55652
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License Number State | CT
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