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General NPI Number Information
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NPI Number | 1174994677
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Entity Type | Individual
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Provider Name | ALLISON KILMER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2015
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 4 SHAWS CV STE 105
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City | NEW LONDON
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State | CT
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Zip | 06320-4956
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Country | US
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Telephone | 860-442-1177
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Fax | 860-442-1181
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Provider Business Mailing Address
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Address Line | 42 TOWN ST
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City | NORWICH
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State | CT
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Zip | 06360-2316
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Country | US
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Telephone | 860-442-1177
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Fax | 860-442-1181
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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 | 12.006326
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License Number State | CT
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