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General NPI Number Information
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NPI Number | 1174544027
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Entity Type | Individual
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Provider Name | PAMELA CELESTE CARRINGTON-TRIBBLE D.O
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Gender | Female
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 816 BROAD ST STE 24
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City | MERIDEN
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State | CT
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Zip | 06450-4350
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Country | US
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Telephone | 203-634-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 60 ELIZABETH ST
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City | HARTFORD
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State | CT
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Zip | 06105-2212
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Country | US
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Telephone | 650-421-6242
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2OA6216
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License Number State | CA
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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 | 77621
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License Number State | CT
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