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General NPI Number Information
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NPI Number | 1194945063
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Entity Type | Individual
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Provider Name | ALINA ILEANA DOBRITA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 46 W AVON RD STE 301
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-404-2905
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Fax | 860-470-3198
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Provider Business Mailing Address
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Address Line | 46 W AVON RD STE 301
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-404-2905
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Fax | 860-470-3198
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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 | 045219
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License Number State | CT
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