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General NPI Number Information
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NPI Number | 1811910003
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Entity Type | Individual
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Provider Name | JOAN A WELCH NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 44 MAIN ST
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City | DANBURY
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State | CT
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Zip | 06810-8047
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Country | US
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Telephone | 203-744-2938
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Fax | 203-790-4735
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Provider Business Mailing Address
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Address Line | 6 GREEN CIR REAR
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City | WOODBURY
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State | CT
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Zip | 06798-3425
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Country | US
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Telephone | 203-733-7958
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 001043
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License Number State | CT
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