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General NPI Number Information
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NPI Number | 1609841147
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Entity Type | Individual
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Provider Name | JANINE M. A.. WILCOX A.P.R.N.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 30 LAFAYETTE SQ STE 109
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City | VERNON ROCKVILLE
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State | CT
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Zip | 06066-4554
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Country | US
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Telephone | 800-391-0599
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Fax | 980-825-7196
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Provider Business Mailing Address
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Address Line | 17 STONEPOST RD
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City | GLASTONBURY
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State | CT
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Zip | 06033-4172
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Country | US
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Telephone | 860-633-7470
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 000821
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License Number State | CT
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