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General NPI Number Information
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NPI Number | 1629922133
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Entity Type | Individual
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Provider Name | IRENE-LEE ANN KLEIN NP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 921 BOSTON TPKE
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City | BOLTON
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State | CT
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Zip | 06043-7479
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Country | US
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Telephone | 860-646-0649
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Fax | 860-512-0380
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Provider Business Mailing Address
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Address Line | 30 JORDAN LANE
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City | WETHERSFIELD
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State | CT
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Zip | 06109-1278
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Country | US
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Telephone | 860-845-0905
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Fax | 860-913-2587
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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 | 16694
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License Number State | CT
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