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General NPI Number Information
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NPI Number | 1942736293
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Entity Type | Individual
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Provider Name | TARYN K BISHOP APRN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 385 W MAIN ST
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City | AVON
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State | CT
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Zip | 06001-4357
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Country | US
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Telephone | 860-777-1280
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Fax | 860-777-1276
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HIGHWAY 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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN43764
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN01625
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10456
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License Number State | CT
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