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General NPI Number Information
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NPI Number | 1235952805
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Entity Type | Individual
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Provider Name | ASHLEY L LUCHINI
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 46 PRINCE ST STE 207
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City | NEW HAVEN
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State | CT
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Zip | 06519-1600
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Country | US
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Telephone | 203-497-9354
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Fax |
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Provider Business Mailing Address
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Address Line | 7 DUDLEY AVE
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City | BRANFORD
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State | CT
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Zip | 06405-5401
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Country | US
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Telephone | 203-823-5962
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 104887901
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM09794
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License Number State | CT
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