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General NPI Number Information
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NPI Number | 1740541713
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Entity Type | Individual
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Provider Name | EILEEN A SYTNYK CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 900 COTTAGE GROVE RD
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2920
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Country | US
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Telephone | 860-226-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 900 COTTAGE GROVE RD # A5HEA
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2920
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Country | US
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Telephone | 860-226-4500
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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 | 6568
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71013303A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11030258
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 31670
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP013972
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License Number State | PA
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