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General NPI Number Information
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NPI Number | 1932903812
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Entity Type | Individual
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Provider Name | DEBRA SKUDZIENSKI
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 115 TECHNOLOGY DR UNIT C302
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City | TRUMBULL
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State | CT
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Zip | 06611-6347
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Country | US
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Telephone | 203-445-7093
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Fax | 203-638-7991
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HHC-CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone | 860-972-5507
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Fax | 860-972-7040
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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 | 14262
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License Number State | CT
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