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NPI 1093620577

NPI 1093620577 : KATIE NICOLE WEISER : SHARON, CT

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General NPI Number Information
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    NPI Number           |    1093620577
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE NICOLE WEISER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/18/2026
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    Last Update Date     |    08/18/2026
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Provider Practice Location Address
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    Address Line         |    50 HOSPITAL HILL RD 
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    City                 |    SHARON
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    State                |    CT
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    Zip                  |    06069-2092
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    Country              |    US
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    Telephone            |    860-364-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    67 CHRISTIAN ST 
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    City                 |    NEW PRESTON
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    State                |    CT
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    Zip                  |    06777-1803
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    Country              |    US
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    Telephone            |    860-921-7669
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    203074
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    License Number State |    CT
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