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General NPI Number Information
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NPI Number | 1891546370
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Entity Type | Individual
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Provider Name | STEFFY SENGPHACHANH APRN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 395 N MAIN ST
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City | BRISTOL
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State | CT
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Zip | 06010-4924
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Country | US
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Telephone | 860-585-5000
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Fax | 860-585-5050
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Provider Business Mailing Address
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Address Line | 33 WILSON AVE
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City | MERIDEN
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State | CT
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Zip | 06450-6915
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13109
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License Number State | CT
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