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General NPI Number Information
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NPI Number | 1033633722
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Entity Type | Individual
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Provider Name | DAVID C AVALLON
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Gender | Male
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 1 ATLANTIC ST STE 201
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City | STAMFORD
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State | CT
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Zip | 06901-2438
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Country | US
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Telephone | 203-355-2225
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Fax | 203-355-2235
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Provider Business Mailing Address
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Address Line | 1220 POST ROAD SUITE 1
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City | FAIRFIELD
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State | CT
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Zip | 06824
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Country | US
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Telephone | 203-955-1147
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Fax | 203-955-1148
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2079
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License Number State | CT
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