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1174868095
NATHAN WADE SCOTT
OLD SAYBROOK, CT
NPI
1174868095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 005125)
Enumeration Date
2012-12-04
Last Update Date
2017-04-12
Business Address
Mr. NATHAN WADE SCOTT A.P.R.N.
154 MAIN ST
OLD SAYBROOK, CT 06475-2373
Phone number: 860-395-1212
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Mailing Address
Mr. NATHAN WADE SCOTT A.P.R.N.
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-4820
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