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General NPI Number Information
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NPI Number | 1265923288
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Entity Type | Individual
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Provider Name | CAITLIN MARIE MINIHAN APRN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 91 NORTHWEST DR
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City | PLAINVILLE
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State | CT
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Zip | 06062-1552
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Country | US
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Telephone | 860-793-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVENUE
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City | FARMINGTON
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State | CT
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Zip | 06030-8082
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Country | US
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Telephone | 860-658-8760
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Fax | 860-658-8761
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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 | 7562
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7562
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License Number State | CT
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