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General NPI Number Information
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NPI Number | 1427238500
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Entity Type | Individual
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Provider Name | KAREN ROY NP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 1000 SILVER STREET
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City | MIDDLETOWN
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State | CT
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Zip | 06475-4214
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Country | US
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Telephone | 860-262-5140
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Fax | 860-262-6525
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Provider Business Mailing Address
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Address Line | 28 CRESCENT ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3650
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Country | US
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Telephone | 860-235-5375
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Fax | 860-262-6525
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 3719
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License Number State | CT
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