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General NPI Number Information
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NPI Number | 1609064054
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Entity Type | Individual
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Provider Name | DONNA FORD APRN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 1 LAKE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1396
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Country | US
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Telephone | 860-348-4242
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Fax | 860-348-4646
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Provider Business Mailing Address
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Address Line | 300 KENSINGTON AVE
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3916
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Country | US
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Telephone | 860-224-6200
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Fax | 860-224-6260
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 003681
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License Number State | CT
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