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General NPI Number Information
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NPI Number | 1124285192
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Entity Type | Individual
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Provider Name | EMILY SLATE MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 1281 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-3544
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Country | US
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Telephone | 203-325-4087
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Fax | 203-359-9941
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Provider Business Mailing Address
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Address Line | 1281 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-3544
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Country | US
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Telephone | 203-325-4087
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Fax | 203-359-9941
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 054413
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 054413
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License Number State | CT
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