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General NPI Number Information
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NPI Number | 1073059481
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Entity Type | Organization
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Legal Business Name | PILLAR HEALTH PC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 55 POST RD W FL 2
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City | WESTPORT
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State | CT
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Zip | 06880-4235
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Country | US
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Telephone | 203-895-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 55 POST RD W FL 2
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City | WESTPORT
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State | CT
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Zip | 06880-4235
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Country | US
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Telephone | 203-895-2355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JODY GERARD
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Credential | M.D.
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Telephone | 203-722-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 048064
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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