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General NPI Number Information
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NPI Number | 1821447053
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Entity Type | Individual
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Provider Name | JANINA KEAN APRN
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 70 N MAIN ST
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City | SHARON
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State | CT
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Zip | 06069-2074
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Country | US
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Telephone | 860-383-8364
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1278
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City | LINCOLNTON
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State | NC
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Zip | 28093-1278
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Country | US
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Telephone | 860-383-8364
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 003024
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License Number State | CT
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