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General NPI Number Information
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NPI Number | 1588751283
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Entity Type | Individual
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Provider Name | ANN DEVYLDER NAVAGE APRN, CWOCN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 114 WOODLAND ST
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 869-714-6019
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Fax | 860-714-8190
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Provider Business Mailing Address
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Address Line | 114 WOODLAND ST
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 869-714-6019
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Fax | 860-714-8190
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 001726
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License Number State | CT
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