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General NPI Number Information
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NPI Number | 1467672097
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Entity Type | Individual
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Provider Name | ELLEN M CARROLL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 71 EAST AVE
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City | NORWALK
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State | CT
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Zip | 06851-4903
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Country | US
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Telephone | 203-656-1452
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Fax | 203-656-1485
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Provider Business Mailing Address
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Address Line | 14 GLEN RIDGE RD
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City | GREENWICH
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State | CT
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Zip | 06831-3657
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Country | US
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Telephone | 203-531-1646
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F 380919
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2605
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License Number State | CT
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