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General NPI Number Information
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NPI Number | 1093016834
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Entity Type | Individual
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Provider Name | JENNIFER K SENIFF APRN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 333 CEDAR ST TMP3
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-785-2802
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Fax | 203-785-6664
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Provider Business Mailing Address
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Address Line | 28132 TOWN WALK DR
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City | HAMDEN
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State | CT
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Zip | 06518-5343
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Country | US
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Telephone | 860-680-8099
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 004544
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License Number State | CT
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