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General NPI Number Information
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NPI Number | 1801845623
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Entity Type | Individual
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Provider Name | SUZETTE M VIOLA APRN
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 675 MAIN ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2732
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Country | US
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Telephone | 860-347-6971
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Fax | 860-343-7379
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Provider Business Mailing Address
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Address Line | 675 MAIN ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2732
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Country | US
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Telephone | 860-347-6971
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Fax | 860-343-7379
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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 | COA.06380-NP
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License Number State | OH
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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 | 15022
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NP06380
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License Number State | OH
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