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General NPI Number Information
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NPI Number | 1003916180
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Entity Type | Organization
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Legal Business Name | MICHAEL BAROODY, MD LLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 46 FEDERAL RD
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City | DANBURY
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State | CT
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Zip | 06810-6129
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Country | US
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Telephone | 203-790-5700
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Fax | 203-743-1100
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Provider Business Mailing Address
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Address Line | 46 FEDERAL RD
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City | DANBURY
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State | CT
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Zip | 06810-6129
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Country | US
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Telephone | 203-790-5700
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Fax | 203-743-1100
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL BAROODY
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Credential | MD
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Telephone | 203-790-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 042499
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License Number State | CT
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