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General NPI Number Information
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NPI Number | 1962029660
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Entity Type | Individual
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Provider Name | BRITTANY ATHENA MOLKENTHIN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 188 WESTMINSTER RD UNIT 5
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City | CANTERBURY
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State | CT
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Zip | 06331-1434
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Country | US
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Telephone | 860-556-9119
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Fax | 833-438-4939
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Provider Business Mailing Address
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Address Line | 188 WESTMINSTER RD UNIT 5
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City | CANTERBURY
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State | CT
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Zip | 06331-1434
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Country | US
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Telephone | 860-556-9119
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Fax | 833-438-4939
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 9537
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 142684
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License Number State | CT
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