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General NPI Number Information
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NPI Number | 1023335064
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Entity Type | Organization
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Legal Business Name | RICHARD C CONNORS MD PC
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 1 PERRYRIDGE RD SUITE 2
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City | GREENWICH
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State | CT
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Zip | 06830-4648
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Country | US
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Telephone | 203-622-0808
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Fax | 203-622-7038
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Provider Business Mailing Address
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Address Line | 1 PERRYRIDGE RD SUITE 2
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City | GREENWICH
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State | CT
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Zip | 06830-4648
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Country | US
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Telephone | 203-622-0808
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Fax | 203-622-7038
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD CHARLES CONNORS
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Credential | M.D.
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Telephone | 203-622-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 016395
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License Number State | CT
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