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General NPI Number Information
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NPI Number | 1164140844
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Entity Type | Individual
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Provider Name | KIRSTEN L DOOLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 55 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-5474
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Country | US
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Telephone | 203-738-9807
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ELM ST FL 2
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City | BRANFORD
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State | CT
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Zip | 06405-3501
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Country | US
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Telephone | 203-738-9807
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11007
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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 | 175376
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License Number State | CT
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