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General NPI Number Information
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NPI Number | 1184312506
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Entity Type | Individual
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Provider Name | JESSICA-LEE SABATINO FNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 41 N MAIN ST STE 300
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1929
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Country | US
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Telephone | 860-313-0448
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Fax | 860-313-1464
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Provider Business Mailing Address
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Address Line | 685 MAIN ST
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City | CROMWELL
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State | CT
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Zip | 06416-1429
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Country | US
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Telephone | 860-394-9666
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 111611
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12056
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12056
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License Number State | CT
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