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General NPI Number Information
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NPI Number | 1730016981
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Entity Type | Individual
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Provider Name | TONYA DAWN BAILEY APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 809 MAIN ST.
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 203-788-1479
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Fax |
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Provider Business Mailing Address
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Address Line | 335 RYE ST
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City | BROAD BROOK
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State | CT
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Zip | 06016-9563
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Country | US
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Telephone | 860-528-1359
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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 | 16426
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License Number State | CT
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