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General NPI Number Information
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NPI Number | 1992548259
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Entity Type | Individual
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Provider Name | ANNIE AUGUSTINE
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Gender | Female
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 1 CELLINI PL STE 102
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City | WEST HAVEN
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State | CT
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Zip | 06516-1666
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Country | US
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Telephone | 203-932-6481
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Fax | 203-932-4051
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Provider Business Mailing Address
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Address Line | 1 CELLINI PL STE 102
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City | WEST HAVEN
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State | CT
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Zip | 06516-1666
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Country | US
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Telephone | 203-932-6481
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5541
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 13337
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 13337
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License Number State | CT
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