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General NPI Number Information
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NPI Number | 1639967268
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Entity Type | Individual
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Provider Name | NICOLE FRANCIS
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Gender |
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 31 UNION ST
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City | VERNON
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State | CT
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Zip | 06066-3126
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Country | US
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Telephone | 860-872-0501
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Fax |
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Provider Business Mailing Address
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Address Line | 32 ANDOVER ST
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City | HARTFORD
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State | CT
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Zip | 06112-1401
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 14733
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License Number State | CT
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