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General NPI Number Information
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NPI Number | 1376913384
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Entity Type | Individual
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Provider Name | SCOTT ANDREW KANGAS APRN
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Gender | Male
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 66 RIVER BEND ROAD UNIT C
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City | STRATFORD
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State | CT
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Zip | 06614
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Country | US
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Telephone | 203-893-5453
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Fax |
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Provider Business Mailing Address
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Address Line | 53 FEDERAL RD
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City | SHELTON
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State | CT
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Zip | 06484-3439
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Country | US
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Telephone | 203-893-5453
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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 | 006264
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License Number State | CT
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