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General NPI Number Information
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NPI Number | 1730987793
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Entity Type | Individual
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Provider Name | SARAH JANE KILIAN APRN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 97 BARNES RD STE 6
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City | WALLINGFORD
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State | CT
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Zip | 06492-1885
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Country | US
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Telephone | 203-265-9890
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Fax | 203-265-3321
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Provider Business Mailing Address
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Address Line | 288 MERRY CIR
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City | ORANGE
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State | CT
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Zip | 06477-3417
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Country | US
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Telephone | 203-500-0281
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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 | 14112
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 14112
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License Number State | CT
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