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NPI 1780235697

NPI 1780235697 : JANET NJUGUNA APRN : WATERBURY, CT

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General NPI Number Information
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    NPI Number           |    1780235697
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    Entity Type          |    Individual 
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    Provider Name        |    JANET NJUGUNA APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/23/2019
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    Last Update Date     |    01/25/2020
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Provider Practice Location Address
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    Address Line         |    276 HIGHLAND AVE STE A2 
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    City                 |    WATERBURY
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    State                |    CT
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    Zip                  |    06708-3022
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    Country              |    US
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    Telephone            |    203-819-7220
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 DRUMMOND DR APT K 
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    City                 |    ROCKY HILL
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    State                |    CT
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    Zip                  |    06067-3327
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    Country              |    US
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    Telephone            |    860-461-3224
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    8442
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    8442
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    License Number State |    CT
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