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General NPI Number Information
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NPI Number | 1245444702
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Entity Type | Individual
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Provider Name | PAMELA J DOLE EDD, MPH, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 401 W THAMES ST BLDG 301
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City | NORWICH
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State | CT
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Zip | 06360-7155
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Country | US
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Telephone | 860-859-4720
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Fax | 860-859-4700
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Provider Business Mailing Address
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Address Line | 401 W THAMES ST BLDG 301
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City | NORWICH
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State | CT
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Zip | 06360-7155
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Country | US
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Telephone | 860-859-4720
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Fax | 860-859-4700
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 001995
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License Number State | CT
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