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General NPI Number Information
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NPI Number | 1710470034
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Entity Type | Individual
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Provider Name | GINA M CONFREDO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 275 MOUNT CARMEL AVE
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City | HAMDEN
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State | CT
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Zip | 06518-1961
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Country | US
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Telephone | 203-407-4050
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Fax | 203-616-4131
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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 | 631-335-0454
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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