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General NPI Number Information
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NPI Number | 1144813650
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Entity Type | Organization
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Legal Business Name | COASTAL NATUROPATHIC & ACUPUNCTURE
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 3 HOLLYHOCK RD STE 2A
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City | WILTON
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State | CT
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Zip | 06897-4443
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Country | US
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Telephone | 203-762-6021
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Fax | 203-210-5485
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Provider Business Mailing Address
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Address Line | 3 HOLLYHOCK RD STE 2A
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City | WILTON
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State | CT
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Zip | 06897-4443
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Country | US
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Telephone | 203-762-6021
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Fax | 203-210-5485
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. LISA TROFA
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Credential | ND
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Telephone | 203-858-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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