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General NPI Number Information
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NPI Number | 1275599516
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Entity Type | Organization
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Legal Business Name | STAMFORD PSYCHIATRIC AND GERIATRIC PSYCHIATRY ASSOCIATES
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/14/2007
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Provider Practice Location Address
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Address Line | 27 STRAWBERRY HILL CT
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City | STAMFORD
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State | CT
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Zip | 06902-2514
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Country | US
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Telephone | 203-323-7317
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Fax | 203-978-0240
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Provider Business Mailing Address
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Address Line | 27 STRAWBERRY HILL CT
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City | STAMFORD
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State | CT
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Zip | 06902-2514
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Country | US
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Telephone | 203-323-7317
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Fax | 203-978-0240
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY FORCE
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Credential |
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Telephone | 203-323-7317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 23417
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License Number State | CT
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