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General NPI Number Information
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NPI Number | 1891857553
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Entity Type | Individual
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Provider Name | CHERYL LYNN DOLL APRN
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 06/29/2008
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Provider Practice Location Address
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Address Line | 450 COLUMBUS BLVD
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City | HARTFORD
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State | CT
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Zip | 06103-1801
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Country | US
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Telephone | 860-882-8673
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 341
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City | COBALT
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State | CT
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Zip | 06414-0341
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Country | US
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Telephone | 860-798-9255
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 003440
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License Number State | CT
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