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NPI 1306805130

NPI 1306805130 : SOUNDVIEW MEDICAL ASSOCIATES, LLC. : NORWALK, CT

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General NPI Number Information
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    NPI Number           |    1306805130
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUNDVIEW MEDICAL ASSOCIATES, LLC. 
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Dates
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    Enumeration Date     |    03/21/2006
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    Last Update Date     |    04/05/2016
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Provider Practice Location Address
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    Address Line         |    761 MAIN AVE SUITE 201
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851-1080
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    Country              |    US
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    Telephone            |    203-838-4000
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    Fax                  |    203-845-9535
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Provider Business Mailing Address
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    Address Line         |    761 MAIN AVE SUITE 201
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851-1080
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    Country              |    US
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    Telephone            |    203-838-4000
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    Fax                  |    203-845-9535
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Authorized Official
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    Title or Position    |    VICE PRESIDENT CLINICAL OPERATIONS
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    Name                 |    DR. FRANK S SAMMARCO 
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    Credential           |    M.D.
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    Telephone            |    203-838-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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