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General NPI Number Information
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NPI Number | 1821386558
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Entity Type | Organization
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Legal Business Name | BARBARA EMERY APRN, LLC
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 435 BUCKLAND RD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-3720
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Country | US
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Telephone | 860-803-9005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1354
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-7354
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Country | US
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Telephone | 860-803-9005
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MS. BARBARA EMERY
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Credential | APRN
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Telephone | 860-803-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 003570
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License Number State | CT
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