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General NPI Number Information
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NPI Number | 1881101814
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Entity Type | Individual
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Provider Name | ADELINA MARIE ALLEN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 12/29/2017
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Provider Practice Location Address
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Address Line | 713 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3969
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Country | US
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Telephone | 860-224-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 60 SHADY HILL LN
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City | NEWINGTON
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State | CT
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Zip | 06111-5318
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Country | US
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Telephone | 860-310-6280
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT0006085
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License Number State | CT
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