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General NPI Number Information
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NPI Number | 1316788482
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Entity Type | Individual
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Provider Name | JULIA SPAGNOLETTI
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 50 OLD FIELD POINT RD
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City | GREENWICH
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State | CT
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Zip | 06830-6157
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Country | US
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Telephone | 203-862-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 185 CANAL ST UNIT 2042
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City | SHELTON
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State | CT
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Zip | 06484-8131
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Country | US
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Telephone | 203-217-8018
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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 | 12123
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License Number State | CT
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