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General NPI Number Information
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NPI Number | 1750699369
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Entity Type | Individual
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Provider Name | KRISTINA MARIE AMATO APRN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 100 RETREAT AVE SUITE 400
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City | HARTFORD
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State | CT
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Zip | 06106-2528
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Country | US
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Telephone | 860-547-1278
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Fax | 860-547-1301
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Provider Business Mailing Address
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Address Line | 2110 SILAS DEANE HWY
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City | ROCKY HILL
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State | CT
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Zip | 06067-2313
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Country | US
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Telephone | 860-258-3470
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Fax | 860-571-6800
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 004482
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 004482
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License Number State | CT
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