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General NPI Number Information
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NPI Number | 1306252291
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Entity Type | Individual
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Provider Name | JESSICA VALSAMIS
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Gender | Female
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 31 OLD ROUTE 7
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City | BROOKFIELD
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State | CT
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Zip | 06804-1711
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Country | US
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Telephone | 475-253-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 323 CROMWELL AVE
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City | ROCKY HILL
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State | CT
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Zip | 06067-1801
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Country | US
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Telephone | 203-671-1946
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 351038
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License Number State | NY
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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 | RN2351030
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License Number State | MA
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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 | 5778
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License Number State | CT
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