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General NPI Number Information
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NPI Number | 1427363720
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Entity Type | Individual
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Provider Name | JEAN STANKAITIS ZDANYS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 17 MANSFIELD RD
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City | NORTH HAVEN
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State | CT
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Zip | 06473-1212
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Country | US
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Telephone | 203-946-2934
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Fax | 203-946-7916
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Provider Business Mailing Address
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Address Line | 54 MEADOW ST. NEW HAVEN HEALTH DEPARTMENT
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City | NEW HAVEN
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State | CT
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Zip | 06519-1743
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Country | US
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Telephone | 203-946-6364
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Fax | 203-946-6508
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 001967
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License Number State | CT
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