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General NPI Number Information
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NPI Number | 1952407744
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Entity Type | Individual
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Provider Name | LYNNE MARIE CAPPELLUCCI APRN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 11 DOG HILL RD
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City | DAYVILLE
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State | CT
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Zip | 06241-2106
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Country | US
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Telephone | 860-779-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 1696 US HIGHWAY 96
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City | FOWLER
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State | CO
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Zip | 81039-9761
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Country | US
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Telephone | 602-525-5130
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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 | 171347
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License Number State | CO
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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 | AP2570
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0005051-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN0005051
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13864
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License Number State | CT
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