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General NPI Number Information
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NPI Number | 1932089802
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Entity Type | Organization
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Legal Business Name | JUNIPER HOLDINGS PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 15 PARTRIDGE LN
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City | WESTON
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State | CT
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Zip | 06883-2439
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Country | US
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Telephone | 860-912-7971
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Fax | 860-253-2762
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Provider Business Mailing Address
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Address Line | 2389 MAIN ST STE 100
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City | GLASTONBURY
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State | CT
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Zip | 06033-4617
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Country | US
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Telephone | 860-912-7971
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Fax | 860-253-2762
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Authorized Official
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Title or Position | MEMBER / OWNER / APRN
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Name | SHARON FARAH
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Credential | APRN
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Telephone | 860-912-7971
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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 |
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License Number State |
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