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General NPI Number Information
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NPI Number | 1598549735
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Entity Type | Individual
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Provider Name | KIERSTEN BRIENNE DUNCAN APRN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 105 WEST RD
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City | ELLINGTON
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State | CT
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Zip | 06029-5700
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Country | US
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Telephone | 845-418-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 3 DEER RUN DR
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City | ELLINGTON
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State | CT
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Zip | 06029-3445
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Country | US
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Telephone | 860-436-3757
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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 | 12245
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License Number State | CT
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