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General NPI Number Information
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NPI Number | 1861756256
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Entity Type | Organization
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Legal Business Name | DAY KIMBALL HOSPITAL
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 06/29/2012
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Provider Practice Location Address
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Address Line | 44 HILLCREST DR
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City | VERNON
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State | CT
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Zip | 06066-4206
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Country | US
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Telephone | 860-268-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 44 HILLCREST DR
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City | VERNON
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State | CT
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Zip | 06066-4206
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Country | US
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Telephone | 860-268-3439
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. JENNIFER HOPE ROSS
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Credential | APRN
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Telephone | 860-928-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4998
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License Number State | CT
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