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General NPI Number Information
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NPI Number | 1134535859
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Entity Type | Individual
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Provider Name | RACHEL M PISANI APRN,NP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-200-2486
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Fax | 203-200-6951
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Provider Business Mailing Address
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Address Line | 100 TOWN WALK DR
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City | HAMDEN
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State | CT
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Zip | 06518-3756
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Country | US
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Telephone | 650-814-6651
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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 | 6018
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 6018
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License Number State | CT
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