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General NPI Number Information
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NPI Number | 1265054795
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Entity Type | Individual
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Provider Name | NICHOLAS CARPINO
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Gender | Male
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06106-3315
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Country | US
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Telephone | 860-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 221 TRUMBULL ST APT 402
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City | HARTFORD
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State | CT
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Zip | 06103-1511
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Country | US
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Telephone | 203-232-4928
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 009004
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License Number State | CT
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