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General NPI Number Information
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NPI Number | 1063932341
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Entity Type | Individual
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Provider Name | JACLYN MARIE MUNOZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 148 EAST AVE STE 2L
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City | NORWALK
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State | CT
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Zip | 06851-5727
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Country | US
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Telephone | 203-276-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 15 OLD KINGS HWY
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City | WILTON
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State | CT
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Zip | 06897-3717
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Country | US
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Telephone | 214-449-3064
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 76027
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License Number State | CT
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