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NPI 1033869250

NPI 1033869250 : LAILA IMAD KNIO MD : WESTPORT, CT

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General NPI Number Information
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    NPI Number           |    1033869250
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    Entity Type          |    Individual 
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    Provider Name        |    LAILA IMAD KNIO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2022
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    47 LONG LOTS RD 
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    City                 |    WESTPORT
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    State                |    CT
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    Zip                  |    06880-3828
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    Country              |    US
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    Telephone            |    203-227-1251
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    Fax                  |    203-226-8616
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Provider Business Mailing Address
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    Address Line         |    1290 SILAS DEANE HWY HHC-CVO
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    City                 |    WETHERSFIELD
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    State                |    CT
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    Zip                  |    06109-4337
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    Country              |    US
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    Telephone            |    860-972-5507
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    Fax                  |    860-972-7040
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    78837
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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