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General NPI Number Information
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NPI Number | 1811370125
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Entity Type | Organization
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Legal Business Name | MONICA A. STARR, APRN, LLC
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 1 BRADLEY RD SUITE 206
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2285
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Country | US
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Telephone | 203-907-5157
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Fax | 844-697-5517
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Provider Business Mailing Address
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Address Line | 1 BRADLEY RD SUITE 206
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2285
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Country | US
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Telephone | 203-907-5157
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Fax | 844-697-5517
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Authorized Official
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Title or Position | MEMBER
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Name | MONICA ANN STARR
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Credential | APRN
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Telephone | 203-907-5157
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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 | 004844
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License Number State | CT
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