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General NPI Number Information
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NPI Number | 1700996733
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Entity Type | Individual
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Provider Name | JAIME L CORREIA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 WILLARD AVE # 119
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City | NEWINGTON
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State | CT
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Zip | 06111-2631
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Country | US
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Telephone | 860-666-6951
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Fax | 860-667-6791
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Provider Business Mailing Address
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Address Line | 94 BRIDLE PATH DR
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City | SOUTHINGTON
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State | CT
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Zip | 06489-4046
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Country | US
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Telephone | 617-512-0327
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 25685
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License Number State | MA
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