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General NPI Number Information
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NPI Number | 1871164509
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Entity Type | Individual
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Provider Name | HEATHER HOSKINS HENRY APRN
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Gender | Female
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Dates
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Enumeration Date | 07/04/2021
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 30 HAZEL TER STE 20
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2240
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Country | US
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Telephone | 203-293-7763
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Fax |
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Provider Business Mailing Address
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Address Line | 438 LITTLE MEADOW RD
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City | GUILFORD
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State | CT
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Zip | 06437-2065
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Country | US
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Telephone | 303-229-5968
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 108555
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11841
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License Number State | CT
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