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General NPI Number Information
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NPI Number | 1700301710
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Entity Type | Individual
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Provider Name | STEVEN CRAIG FITCH FNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 321 MACK RD
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City | LEBANON
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State | CT
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Zip | 06249-1718
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Country | US
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Telephone | 860-208-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY
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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 | 860-208-1387
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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 | 7161
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License Number State | CT
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