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NPI 1174645469

NPI 1174645469 : VICTORIA SHIKHMAN ND : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1174645469
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA SHIKHMAN ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    144 MORGAN ST SUIT 1 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06905
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    Country              |    US
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    Telephone            |    203-323-0500
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    Fax                  |    203-323-0502
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Provider Business Mailing Address
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    Address Line         |    286 STROBEL RD 
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    City                 |    TRUMBULL
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    State                |    CT
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    Zip                  |    06611-3330
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    Country              |    US
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    Telephone            |    203-375-6959
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    Fax                  |    203-323-0502
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    000338
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    License Number State |    CT
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