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General NPI Number Information
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NPI Number | 1447925128
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Entity Type | Individual
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Provider Name | ANGELA DEE APRN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 893 MAIN ST STE 202
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City | EAST HARTFORD
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State | CT
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Zip | 06108-2293
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Country | US
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Telephone | 860-528-4124
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Fax | 860-282-1213
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Provider Business Mailing Address
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Address Line | 30 JORDAN LANE
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City | WETHERSFIELD
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State | CT
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Zip | 06109-1278
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Country | US
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Telephone | 860-263-0253
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Fax | 860-263-0262
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9640
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 9640
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License Number State | CT
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