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General NPI Number Information
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NPI Number | 1932525516
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Entity Type | Individual
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Provider Name | ERIN O'CONNOR PMHNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 47 TOWN ST
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City | NORWICH
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State | CT
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Zip | 06360-2323
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Country | US
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Telephone | 860-892-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 47 TOWN ST
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City | NORWICH
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State | CT
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Zip | 06360-2323
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Country | US
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Telephone | 860-892-7042
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 109984
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7090
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License Number State | CT
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