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General NPI Number Information
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NPI Number | 1447116082
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Entity Type | Individual
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Provider Name | HANNA PACKNICK RN/NP
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 5151 PARK AVE
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City | FAIRFIELD
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State | CT
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Zip | 06825-1000
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Country | US
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Telephone | 631-294-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BROAD ST APT 2114
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City | STAMFORD
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State | CT
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Zip | 06901-2068
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 222499
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License Number State | CT
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