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General NPI Number Information
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NPI Number | 1275405086
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Entity Type | Individual
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Provider Name | MAGDALENA SMEDRA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 151 HAZARD AVE STE 9
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City | ENFIELD
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State | CT
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Zip | 06082-4588
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Country | US
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Telephone | 860-644-1521
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Fax | 860-644-3335
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15212
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License Number State | CT
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