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General NPI Number Information
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NPI Number | 1144360629
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Entity Type | Individual
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Provider Name | ROBBAN ARIEL SICA M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/20/2024
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Provider Practice Location Address
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Address Line | C/O WEST PORT INTEGRATIVE MEDICINE, LLC SUITE 100 1 TURKEY HILL ROAD SOUTH
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City | WESTPORT
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State | CT
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Zip | 06880
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Country | US
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Telephone | 203-799-7733
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Fax | 203-987-4853
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Provider Business Mailing Address
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Address Line | PO BOX 110172
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City | TRUMBULL
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State | CT
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Zip | 06611-0172
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Country | US
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Telephone | 203-799-7733
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Fax | 203-987-4853
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 026453
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License Number State | CT
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