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General NPI Number Information
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NPI Number | 1417926296
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Entity Type | Individual
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Provider Name | KIMBERLY A BARCLAY APRN
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 21 WATERVILLE RD
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City | AVON
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State | CT
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Zip | 06001-2097
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Country | US
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Telephone | 860-488-5594
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Fax |
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Provider Business Mailing Address
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Address Line | 85 TOLLAND GRN
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City | TOLLAND
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State | CT
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Zip | 06084-3040
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Country | US
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Telephone | 860-604-4334
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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 | 002925
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License Number State | CT
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