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General NPI Number Information
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NPI Number | 1881670933
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Entity Type | Individual
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Provider Name | ADELE I CLAY APRN
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 375 WILLARD AVE STARLING PHYSICIANS
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City | NEWINGTON
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State | CT
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Zip | 06111-2300
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Country | US
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Telephone | 860-666-5111
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Fax | 860-826-4957
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Provider Business Mailing Address
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Address Line | 2110 SILAS DEANE HWY STARLING PHYSICIANS
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City | ROCKY HILL
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State | CT
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Zip | 06067-2313
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Country | US
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Telephone | 860-258-3470
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Fax | 860-571-6800
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 003229
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 003229
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License Number State | CT
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