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General NPI Number Information
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NPI Number | 1134683022
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Entity Type | Individual
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Provider Name | NICHOLE S FERREIRA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 75 HOLLY HILL LN
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City | GREENWICH
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State | CT
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Zip | 06830-6098
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Country | US
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Telephone | 203-869-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 459 EDISON RD
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City | TRUMBULL
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State | CT
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Zip | 06611-4317
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Country | US
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Telephone | 267-987-4339
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 7957
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License Number State | CT
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