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General NPI Number Information
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NPI Number | 1386933216
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Entity Type | Individual
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Provider Name | GERLY AMAZAN-RODNEY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 400 CAPITAL BLVD FL 3
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City | ROCKY HILL
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State | CT
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Zip | 06067-3576
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Country | US
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Telephone | 860-335-6628
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Fax | 855-576-1242
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Provider Business Mailing Address
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Address Line | 400 CAPITAL BLVD FL 3
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City | ROCKY HILL
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State | CT
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Zip | 06067-3576
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Country | US
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Telephone | 860-335-6628
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Fax | 855-576-1242
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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 | 004127
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License Number State | CT
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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 | 335388
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License Number State | NY
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