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General NPI Number Information
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NPI Number | 1134754369
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Entity Type | Individual
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Provider Name | REBECCA CHING APRN, MS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 100 GRAND ST FL 1
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 87 CARLI BLVD
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City | COLCHESTER
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State | CT
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Zip | 06415-1876
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Country | US
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Telephone | 860-912-6707
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 12.009035
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10.116419
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License Number State | CT
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