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NPI 1417159054

NPI 1417159054 : PATRICIA M WARD APRN : GREENWICH, CT

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General NPI Number Information
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    NPI Number           |    1417159054
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA M WARD APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1275 KING ST 
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    City                 |    GREENWICH
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    State                |    CT
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    Zip                  |    06831-2936
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    Country              |    US
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    Telephone            |    203-863-1892
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    Fax                  |    203-861-5188
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Provider Business Mailing Address
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    Address Line         |    14 INDIAN VALLEY RD 
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    City                 |    WESTON
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    State                |    CT
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    Zip                  |    06883-1018
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    Country              |    US
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    Telephone            |    230-544-9394
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    Fax                  |    203-861-5188
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    002153
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    License Number State |    CT
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