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General NPI Number Information
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NPI Number | 1083087142
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Entity Type | Individual
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Provider Name | JENNIFER FREEMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 2520 MAIN ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-4250
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Country | US
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Telephone | 860-968-0430
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Fax | 860-968-0431
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HARTFORD HEALTHCARE-CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone |
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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 | 6363
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License Number State | CT
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