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NPI 1477556504

NPI 1477556504 : JEAN L CAPLAN APRN : SHELTON, CT

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General NPI Number Information
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    NPI Number           |    1477556504
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    Entity Type          |    Individual 
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    Provider Name        |    JEAN L CAPLAN APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6 CORPORATE DR STE 420
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    City                 |    SHELTON
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    State                |    CT
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    Zip                  |    06484-6270
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    Country              |    US
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    Telephone            |    203-925-9600
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    Fax                  |    203-926-0594
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Provider Business Mailing Address
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    Address Line         |    13 HARBOUR CLOSE 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06519-2844
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    Country              |    US
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    Telephone            |    203-789-0301
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    001633
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    License Number State |    CT
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