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General NPI Number Information
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NPI Number | 1750583944
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Entity Type | Individual
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Provider Name | CHRISTINA NIEVES
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 131 COVENTRY ST
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City | HARTFORD
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State | CT
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Zip | 06112-1548
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Country | US
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Telephone | 869-757-4846
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Fax |
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Provider Business Mailing Address
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Address Line | 131 COVENTRY ST
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City | HARTFORD
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State | CT
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Zip | 06112-1548
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Country | US
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Telephone | 869-757-4846
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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 | 001965
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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 | 170133
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License Number State | MA
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