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General NPI Number Information
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NPI Number | 1356797088
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Entity Type | Individual
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Provider Name | JUANITA VERONA SCOTT APRN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 21 GRAND ST
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City | HARTFORD
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State | CT
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Zip | 06106-1541
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Country | US
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Telephone | 860-550-7549
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Fax | 860-550-7561
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Provider Business Mailing Address
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Address Line | 1224 MILL ST STE 224
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City | EAST BERLIN
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State | CT
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Zip | 06023-1159
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Country | US
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Telephone | 480-862-1700
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Fax | 480-718-7643
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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 | 6524
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License Number State | CT
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