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General NPI Number Information
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NPI Number | 1982427928
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Entity Type | Individual
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Provider Name | TREMANDA POLLARD AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 20 COMMERCE PARK # 20B-1
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City | MILFORD
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State | CT
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Zip | 06460-3511
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Country | US
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Telephone | 203-951-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 630 MIX AVE APT 1L
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City | HAMDEN
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State | CT
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Zip | 06514-2359
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Country | US
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Telephone | 347-933-8827
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 14133
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License Number State | CT
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