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General NPI Number Information
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NPI Number | 1265229520
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Entity Type | Individual
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Provider Name | DONNA JEAN FAULKNER MS, LAC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 955 S MAIN ST STE 201B
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City | MIDDLETOWN
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State | CT
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Zip | 06457-5153
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Country | US
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Telephone | 860-748-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 27 MURPHY DR
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City | ROCKY HILL
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State | CT
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Zip | 06067-1865
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Country | US
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Telephone | 860-748-5499
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000890
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License Number State | CT
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