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General NPI Number Information
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NPI Number | 1942502455
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Entity Type | Individual
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Provider Name | JEANNE M FLYNN APRN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 323 CROMWELL AVE
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City | ROCKY HILL
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State | CT
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Zip | 06067-1801
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 50 SEMINOLE CIR
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1429
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Country | US
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Telephone | 860-233-8562
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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 | 004652
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License Number State | CT
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