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General NPI Number Information
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NPI Number | 1245328277
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Entity Type | Organization
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Legal Business Name | MAUREEN MCGOWAN-SCHWARTZ,M.S.APRN,BC,LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 SEYMOUR AVE
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City | DERBY
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State | CT
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Zip | 06418-1343
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Country | US
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Telephone | 203-305-3612
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Fax |
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Provider Business Mailing Address
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Address Line | 85 MERWIN AVE 3G
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City | MILFORD
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State | CT
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Zip | 06460-7965
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Country | US
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Telephone | 203-878-9837
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAUREEN MCGOWAN-SCHWARTZ
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Credential | APRN,BC
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Telephone | 203-878-9837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 002583
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License Number State | CT
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