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General NPI Number Information
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NPI Number | 1578437067
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Entity Type | Individual
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Provider Name | JODI LAVOIE
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1 RIVERSIDE DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1837
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Country | US
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Telephone | 860-528-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 41 SKARET RD
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City | EAST HARTLAND
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State | CT
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Zip | 06027-1316
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Country | US
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Telephone | 860-942-6754
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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 | F09250136
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License Number State | CT
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