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NPI 1265041123

NPI 1265041123 : ERIC DWIGHT ENGLISH : ORANGE, CT

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General NPI Number Information
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    NPI Number           |    1265041123
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC DWIGHT ENGLISH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2020
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    Last Update Date     |    04/11/2025
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Provider Practice Location Address
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    Address Line         |    235 BOSTON POST RD STE 202 
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    City                 |    ORANGE
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    State                |    CT
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    Zip                  |    06477-3229
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    Country              |    US
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    Telephone            |    203-799-1252
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    Fax                  |    203-799-3252
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Provider Business Mailing Address
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    Address Line         |    531 BELDEN HILL RD 
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    City                 |    WILTON
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    State                |    CT
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    Zip                  |    06897-4222
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    Country              |    US
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    Telephone            |    203-984-7661
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    9894
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    122804
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    License Number State |    CT
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