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General NPI Number Information
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NPI Number | 1225996457
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Entity Type | Individual
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Provider Name | CORNIETA WHITFIELD APRN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 2000 N MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06704-2364
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Country | US
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Telephone | 475-306-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HATCH ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-2534
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Country | US
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Telephone | 203-707-9970
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 113800
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License Number State | CT
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