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General NPI Number Information
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NPI Number | 1649521352
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Entity Type | Individual
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Provider Name | LORI PELOSI APRN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 57 PLAINS RD SUITE 1 A UNIT 2
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City | MILFORD
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State | CT
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Zip | 06461-2573
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Country | US
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Telephone | 203-465-6537
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Fax | 203-900-0672
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Provider Business Mailing Address
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Address Line | 619 GUERNSEYTOWN RD
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City | WATERTOWN
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State | CT
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Zip | 06795-1820
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Country | US
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Telephone | 203-525-8052
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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 | 005149
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 005149
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 005149
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5149
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License Number State | CT
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