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General NPI Number Information
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NPI Number | 1609395656
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Entity Type | Individual
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Provider Name | JENNIFER GIARDINA
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Gender | Female
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 60 OLD NEW MILFORD RD STE 3E
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City | BROOKFIELD
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State | CT
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Zip | 06804-2414
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Country | US
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Telephone | 203-684-1747
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Fax |
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Provider Business Mailing Address
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Address Line | 21 OSBORN FARM RD
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City | WESTON
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State | CT
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Zip | 06883-1045
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Country | US
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Telephone | 914-772-4056
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F308272-1
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License Number State | NY
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