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General NPI Number Information
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NPI Number | 1730435355
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Entity Type | Individual
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Provider Name | NICOLE MARIE FERRETTI APRN, RN, RD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-688-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ORANGE ST APT 217
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City | NEW HAVEN
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State | CT
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Zip | 06510-3344
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Country | US
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Telephone | 203-509-2512
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 001071
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 127698
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 7767
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License Number State | CT
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