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General NPI Number Information
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NPI Number | 1538362082
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Entity Type | Individual
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Provider Name | JENNIFER CASAVANT TELFORD ACNP, PHD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 326 WASHINGTON ST
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City | NORWICH
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State | CT
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Zip | 06360-2740
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Country | US
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Telephone | 860-889-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 127 N WAWECUS HILL RD
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City | NORWICH
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State | CT
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Zip | 06360-4062
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Country | US
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Telephone | 703-300-2541
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 004321
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License Number State | CT
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