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General NPI Number Information
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NPI Number | 1861381840
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Entity Type | Individual
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Provider Name | EMILY ROSE PISANI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 45 FRANKLIN ST
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City | NEW LONDON
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State | CT
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Zip | 06320-5920
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Country | US
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Telephone | 860-443-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CROFT CT
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City | PAWCATUCK
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State | CT
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Zip | 06379-1233
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Country | US
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Telephone | 860-938-0184
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01807
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7196
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License Number State | CT
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