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General NPI Number Information
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NPI Number | 1225612682
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Entity Type | Individual
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Provider Name | NICOLE ATTWOOD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 67 WATERBURY RD
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City | PROSPECT
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State | CT
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Zip | 06712-1218
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Country | US
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Telephone | 203-758-4447
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Fax | 203-758-3280
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Provider Business Mailing Address
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Address Line | 535 WOOD HILL RD
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City | CHESHIRE
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State | CT
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Zip | 06410-4335
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Country | US
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Telephone | 203-427-5141
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3217
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License Number State | CT
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