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NPI 1972309656

NPI 1972309656 : GROW WITH ME PEDIATRICS LLC : CANTERBURY, CT

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General NPI Number Information
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    NPI Number           |    1972309656
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROW WITH ME PEDIATRICS LLC 
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Dates
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    Enumeration Date     |    02/22/2025
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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            |    860-949-2096
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    345 WATER ST 
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    City                 |    CANTERBURY
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    State                |    CT
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    Zip                  |    06331-1324
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    Country              |    US
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    Telephone            |    860-556-9119
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER / OWNER
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    Name                 |     BRITTANY  LEEMAN 
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    Credential           |    
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    Telephone            |    860-949-2096
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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