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General NPI Number Information
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NPI Number | 1437173911
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Entity Type | Individual
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Provider Name | CONNIE M INSLEY BS
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 379 6TH AVENUE WEST
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City | BRADENTON
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State | FL
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Zip | 34205
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Country | US
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Telephone | 941-782-4251
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Fax | 941-782-4101
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Provider Business Mailing Address
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Address Line | 2200 38TH AVE W APT 124
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City | BRADENTON
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State | FL
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Zip | 34205-5080
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Country | US
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Telephone | 941-782-4100
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Fax | 941-782-4101
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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