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General NPI Number Information
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NPI Number | 1700262409
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Entity Type | Individual
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Provider Name | KRISTEN HANEY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 370 MIDDLE TPKE W
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 860-650-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 31 OLD ROUTE 7
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City | BROOKFIELD
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State | CT
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Zip | 06804-1711
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Country | US
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Telephone | 860-650-3848
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355192
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License Number State | NY
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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 | RN2376884
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License Number State | MA
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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 | 6191
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License Number State | CT
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