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NPI 1063418226

NPI 1063418226 : DONALD B MAIER MD : FARMINGTON, CT

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General NPI Number Information
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    NPI Number           |    1063418226
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    Entity Type          |    Individual 
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    Provider Name        |    DONALD B MAIER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    01/01/2015
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Provider Practice Location Address
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    Address Line         |    2 BATTERSON PARK RD 
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    City                 |    FARMINGTON
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    State                |    CT
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    Zip                  |    06032-2568
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    Country              |    US
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    Telephone            |    860-678-3428
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 BATTERSON PARK RD 
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    City                 |    FARMINGTON
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    State                |    CT
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    Zip                  |    06032-2568
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    Country              |    US
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    Telephone            |    860-678-3428
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    Fax                  |    
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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        |    207VE0102X
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    Taxonomy Name        |    Reproductive Endocrinology Physician
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    License Number       |    025589
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    License Number State |    CT
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