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General NPI Number Information
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NPI Number | 1801936448
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Entity Type | Individual
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Provider Name | ANDREA ADIMANDO APRN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 123 YORK ST SUITE 1D
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City | NEW HAVEN
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State | CT
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Zip | 06511-5614
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Country | US
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Telephone | 203-626-1311
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Fax | 203-782-4725
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Provider Business Mailing Address
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Address Line | 12 GOLDEN HILL LN
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City | SHELTON
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State | CT
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Zip | 06484-1674
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Country | US
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Telephone | 203-521-7424
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Fax | 203-782-4725
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 003500
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License Number State | CT
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