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General NPI Number Information
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NPI Number | 1285831073
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Entity Type | Individual
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Provider Name | KATHLEEN FURTH CONWAY APRN
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 95 MERRITT BLVD ST. VINCENT'S SPECIAL NEEDS SERVICES
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City | TRUMBULL
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State | CT
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Zip | 06611-5435
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Country | US
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Telephone | 203-386-2744
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Fax | 203-386-2738
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Provider Business Mailing Address
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Address Line | 95 MERRITT BLVD ST. VINCENT'S SPECIAL NEEDS SERVICES
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City | TRUMBULL
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State | CT
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Zip | 06611-5435
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Country | US
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Telephone | 203-386-2744
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Fax | 203-386-2738
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 001894
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License Number State | CT
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