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General NPI Number Information
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NPI Number | 1679273338
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Entity Type | Individual
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Provider Name | DORIS U OKWU
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Gender | Female
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1591 BOSTON POST RD STE 100
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City | GUILFORD
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State | CT
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Zip | 06437-4335
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Country | US
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Telephone | 203-932-6481
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Fax | 203-932-4051
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Provider Business Mailing Address
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Address Line | 121 PROMENADE DR
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City | HAMDEN
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State | CT
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Zip | 06514-2340
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Country | US
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Telephone | 203-988-6862
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 11551
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License Number State | CT
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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 | 11551
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License Number State | CT
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