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General NPI Number Information
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NPI Number | 1043409667
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Entity Type | Individual
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Provider Name | LEILA J. GARRETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 31 RIVER RD STE 102
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City | COS COB
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State | CT
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Zip | 06807-2152
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Country | US
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Telephone | 203-742-1150
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Fax | 203-489-3411
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Provider Business Mailing Address
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Address Line | 31 RIVER RD STE 102
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City | COS COB
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State | CT
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Zip | 06807-2152
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Country | US
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Telephone | 203-742-1150
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Fax | 203-489-3411
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 033702
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License Number State | CT
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