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General NPI Number Information
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NPI Number | 1801933908
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Entity Type | Individual
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Provider Name | ANNE MCAWLEY-LEDUC APRN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 450 COLUMBUS AVE
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City | HARTFORD
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State | CT
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Zip | 06103
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Country | US
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Telephone | 860-702-5844
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Fax | 860-702-5062
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Provider Business Mailing Address
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Address Line | 673 EXETER RD PO BOX 37
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City | LEBANON
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State | CT
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Zip | 06249
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Country | US
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Telephone | 860-642-1786
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 003527
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License Number State | CT
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