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General NPI Number Information
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NPI Number | 1992347397
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Entity Type | Individual
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Provider Name | SHEENA ROBBINS WRAIGHT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 2701 TAMARACK AVE
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-5562
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Country | US
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Telephone | 860-375-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 63 BROOKFIELD RD
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City | BOLTON
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State | CT
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Zip | 06043-7209
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Country | US
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Telephone | 860-305-5877
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 8398
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License Number State | CT
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