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General NPI Number Information
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NPI Number | 1518476647
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Entity Type | Individual
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Provider Name | SEQUILLA CARTER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3 BARNARD LN STE 311
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2495
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Country | US
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Telephone | 860-458-4759
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Fax | 504-226-0721
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Provider Business Mailing Address
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Address Line | 35 POST OFFICE PARK STE 3504
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City | WILBRAHAM
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State | MA
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Zip | 01095-1186
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Country | US
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Telephone | 413-596-6922
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Fax | 413-596-6755
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 166902
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2361143
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 65000
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95520
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8679
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License Number State | CT
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