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General NPI Number Information
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NPI Number | 1215642673
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Entity Type | Individual
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Provider Name | ALPHONSE LOUIS PAOLILLO JR. DNP, APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 149 WATER STREET SUITE 402
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City | NORWALK
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State | CT
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Zip | 06854
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Country | US
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Telephone | 203-842-2894
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Fax | 203-635-5349
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Provider Business Mailing Address
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Address Line | 149 WATER STREET SUITE 402
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City | NORWALK
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State | CT
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Zip | 06854
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Country | US
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Telephone | 203-842-2894
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Fax | 203-635-5349
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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 | 11416
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11416
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License Number State | CT
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