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General NPI Number Information
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NPI Number | 1275027690
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Entity Type | Individual
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Provider Name | DEANNA ELIZABETH CABREY APRN
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 20 ISHAM RD STE 150
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2204
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Country | US
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Telephone | 860-527-1669
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Fax | 860-293-0783
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Provider Business Mailing Address
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Address Line | 30 JORDAN LN STE 3
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City | WETHERSFIELD
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State | CT
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Zip | 06109-1244
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Country | US
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Telephone | 860-263-0253
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Fax | 860-263-0262
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 128653
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | AC004307
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC004307
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12102
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License Number State | CT
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