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General NPI Number Information
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NPI Number | 1306046503
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Entity Type | Organization
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Legal Business Name | DRS GOLDFARB, RANNO AND ASSOCIATES. LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 1305 POST RD SUITE #102
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City | FAIRFIELD
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State | CT
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Zip | 06824-6016
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Country | US
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Telephone | 203-254-2048
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Fax | 203-254-2048
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Provider Business Mailing Address
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Address Line | 1305 POST RD SUITE #102
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City | FAIRFIELD
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State | CT
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Zip | 06824-6016
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Country | US
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Telephone | 203-254-2048
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Fax | 203-254-2048
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Authorized Official
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Title or Position | PARTNER
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Name | DR. GEORGE GOLDFARB
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Credential | M.D.
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Telephone | 203-254-2046
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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 | 028645
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License Number State | CT
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