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General NPI Number Information
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NPI Number | 1013100908
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Entity Type | Organization
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Legal Business Name | NEWTOWN FAMILY MEDICINE PC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 184 MOUNT PLEASANT RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1408
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Country | US
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Telephone | 203-426-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 184 MOUNT PLEASANT RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1408
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Country | US
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Telephone | 203-426-8959
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | PAUL FITCH
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Credential | MD
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Telephone | 203-426-8959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036369
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License Number State | CT
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