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General NPI Number Information
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NPI Number | 1831856772
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Entity Type | Individual
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Provider Name | EMMA FARRELL
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Gender | Female
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Dates
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Enumeration Date | 11/28/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 365 MONTAUK AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4769
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Country | US
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Telephone | 860-442-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 49A NATURE AVE
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City | COLCHESTER
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State | CT
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Zip | 06415-2750
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Country | US
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Telephone | 860-575-9636
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 143016
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 15262
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License Number State | CT
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