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General NPI Number Information
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NPI Number | 1285783324
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Entity Type | Individual
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Provider Name | MARIA T MAIAROTO APRN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 950 CAMPBELL AVE VA CONNECTICUT HEALTH CENTER
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City | WEST HAVEN
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State | CT
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Zip | 06516-2700
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Country | US
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Telephone | 503-932-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CHESTNUT HILL ROAD
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City | KILLINGWORTH
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State | CT
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Zip | 06419
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Country | US
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Telephone | 860-663-4250
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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 | 003490
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License Number State | CT
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