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General NPI Number Information
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NPI Number | 1255131926
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Entity Type | Individual
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Provider Name | NADINE ANGELLA NEIL R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 123 SUMMER ST
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City | WORCESTER
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State | MA
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Zip | 01608-1216
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Country | US
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Telephone | 860-995-7325
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Fax |
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Provider Business Mailing Address
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Address Line | 137 MALLARD DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-2913
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Country | US
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Telephone | 860-995-7325
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN10000696
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN10000696
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License Number State | MA
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