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General NPI Number Information
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NPI Number | 1073392817
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Entity Type | Individual
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Provider Name | MELISSA KAY TUOHY APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 67 MASONIC AVE STE 2400
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City | WALLINGFORD
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State | CT
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Zip | 06492-3099
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Country | US
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Telephone | 203-793-3420
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Fax | 203-404-5790
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Provider Business Mailing Address
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Address Line | 7 SUMMERWOOD DR
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City | WALLINGFORD
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State | CT
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Zip | 06492-3430
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Country | US
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Telephone | 203-814-9864
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 12434
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License Number State | CT
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