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General NPI Number Information
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NPI Number | 1679284855
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Entity Type | Individual
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Provider Name | FELIX LOREN PAREDES JOSE
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Gender | Male
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 73 CEDAR ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1301
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Country | US
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Telephone | 860-224-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HARTFORD HEALTHCARE-CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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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 | 1
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License Number State | CT
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