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General NPI Number Information
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NPI Number | 1790416949
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Entity Type | Organization
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Legal Business Name | AVEO LLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 59 FIELD ST
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City | TORRINGTON
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State | CT
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Zip | 06790-4955
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Country | US
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Telephone | 860-921-7504
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Fax | 860-393-1082
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Provider Business Mailing Address
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Address Line | 59 FIELD ST
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City | TORRINGTON
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State | CT
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Zip | 06790-4955
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Country | US
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Telephone | 860-921-7504
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Fax | 860-393-1082
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Authorized Official
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Title or Position | MANAGER
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Name | CHYENNE GIARNESE
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Credential | APRN
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Telephone | 959-901-5583
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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 |
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License Number State |
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