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General NPI Number Information
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NPI Number | 1073445011
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Entity Type | Individual
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Provider Name | RONALEE DENNIS-NELSON
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 46 ALBION ST
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City | BRIDGEPORT
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State | CT
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Zip | 06605-2602
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Country | US
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Telephone | 201-741-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 100 DELWOOD RD
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City | STRATFORD
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State | CT
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Zip | 06614-2130
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Country | US
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Telephone | 201-741-6435
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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 | 18334
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License Number State | CT
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