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General NPI Number Information
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NPI Number | 1649506445
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Entity Type | Individual
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Provider Name | ROSE KIHARA APRN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 39 ROUTE 171
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City | WOODSTOCK
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State | CT
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Zip | 06281
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Country | US
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Telephone | 860-315-1198
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Fax | 860-315-1199
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Provider Business Mailing Address
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Address Line | PO BOX 922
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City | WOODSTOCK
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State | CT
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Zip | 06281-0922
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Country | US
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Telephone | 860-315-1198
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Fax | 603-151-1998
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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 | RN264473
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 004217
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License Number State | CT
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