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General NPI Number Information
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NPI Number | 1710998877
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Entity Type | Individual
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Provider Name | RENEE PRINCE MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 7 ELM ST SUITE 203
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City | ENFIELD
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State | CT
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Zip | 06082-3669
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Country | US
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Telephone | 860-763-4041
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Fax | 860-763-5221
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Provider Business Mailing Address
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Address Line | 7 ELM ST SUITE 203
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City | ENFIELD
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State | CT
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Zip | 06082-3669
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Country | US
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Telephone | 860-763-4041
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Fax | 860-763-5221
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 169569
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 50622
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 029049
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License Number State | CT
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