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General NPI Number Information
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NPI Number | 1144342528
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Entity Type | Individual
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Provider Name | JANE NEU APRN
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 LEDGEBROOK DR STE A
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1684
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Country | US
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Telephone | 860-456-1485
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Fax | 860-423-1589
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Provider Business Mailing Address
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Address Line | 671 CHAFFEEVILLE RD.
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City | STORRS
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State | CT
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Zip | 06250
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Country | US
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Telephone | 860-786-8130
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 003510
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License Number State | CT
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