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General NPI Number Information
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NPI Number | 1477987352
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Entity Type | Individual
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Provider Name | MEREDITH QUINN TUTTLE MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 400 WEST CAMPUS DRIVE
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City | WEST HAVEN
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State | CT
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Zip | 06516
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Country | US
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Telephone | 703-346-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 4773 RAVEN RUN
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City | BROOMFIELD
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State | CO
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Zip | 80023-4636
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Country | US
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Telephone | 703-346-0699
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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 | 23586
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License Number State | CA
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