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General NPI Number Information
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NPI Number | 1942665443
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Entity Type | Individual
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Provider Name | TRINA PATENAUDE MARTIN APRN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 17 SALEM HOLLOW LN
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City | SALEM
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State | CT
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Zip | 06420-4046
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Country | US
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Telephone | 518-598-5220
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Fax | 866-383-6746
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Provider Business Mailing Address
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Address Line | 225 BOSTON POST RD UNIT 38
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City | EAST LYME
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State | CT
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Zip | 06333-7002
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Country | US
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Telephone | 860-494-5884
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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 | 6394
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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 | 6394
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License Number State | CT
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