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General NPI Number Information
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NPI Number | 1962874214
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Entity Type | Individual
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Provider Name | MARIA TAPIA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 233 MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-4204
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Country | US
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Telephone | 860-224-8192
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Fax |
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Provider Business Mailing Address
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Address Line | 20 JUNIPER RD
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1721
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Country | US
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Telephone | 203-910-1586
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10415
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License Number State | CT
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