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General NPI Number Information
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NPI Number | 1952851438
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Entity Type | Organization
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Legal Business Name | CARA BARTOS, APRN LLC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 152 SIMSBURY RD BUILDING #9
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City | AVON
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State | CT
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Zip | 06001-3777
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Country | US
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Telephone | 860-463-6128
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Fax |
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Provider Business Mailing Address
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Address Line | 124 SIMSBURY ROAD 9-B
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City | AVON
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State | CT
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Zip | 06001
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Country | US
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Telephone | 860-463-6128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARA BARTOS
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Credential | APRN
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Telephone | 860-463-6128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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