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General NPI Number Information
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NPI Number | 1245437789
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Entity Type | Individual
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Provider Name | LETICIA OTCHERE-DARKO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 333 CEDAR ST # ST3
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 37-852-8022
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Fax | 203-785-6664
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Provider Business Mailing Address
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Address Line | 333 CEDAR ST # ST3
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-785-2802
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Fax | 37-856-6642
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 66819
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 19912
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License Number State | MS
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