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NPI 1295051449

NPI 1295051449 : ANNA E MONIODIS MD : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1295051449
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA E MONIODIS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2010
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    Last Update Date     |    08/02/2021
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Provider Practice Location Address
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    Address Line         |    29 HOSPITAL PLZ STE 505 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06902-3602
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    Country              |    US
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    Telephone            |    203-522-1342
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3801 N LAMAR BLVD STE 300 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78756-4080
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    Country              |    US
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    Telephone            |    125-421-3831
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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        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    S7286
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    55179
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    55179
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    License Number State |    CT
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Taxonomy #4
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    S7286
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    License Number State |    TX
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