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General NPI Number Information
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NPI Number | 1730810300
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Entity Type | Individual
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Provider Name | AUDREY SPIEGEL CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 755 CAMPBELL AVE STE 2
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City | WEST HAVEN
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State | CT
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Zip | 06516-3789
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Country | US
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Telephone | 508-341-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 755 CAMPBELL AVE STE 2
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City | WEST HAVEN
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State | CT
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Zip | 06516-3789
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Country | US
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Telephone | 203-889-2297
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 12381
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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 | 161467
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License Number State | CT
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