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General NPI Number Information
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NPI Number | 1255630869
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Entity Type | Individual
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Provider Name | MAURA AABERG C.N.M., W.H.N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 394 W CENTER ST
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 888-607-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 49 WELLES ST STE 215
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City | GLASTONBURY
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State | CT
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Zip | 06033-4205
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Country | US
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Telephone |
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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 | 11555
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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 | F001434
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 388
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License Number State | CT
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