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General NPI Number Information
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NPI Number | 1407837610
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Entity Type | Individual
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Provider Name | ELLEN CATHERINE DENIGRIS MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | ROUT 12 BLDG 449 NAVAL AMBULATORY CARE CENTER ATTN: PROFESSIONAL AFFAIRS
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City | GROTON
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State | CT
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Zip | 06349-5600
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Country | US
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Telephone | 860-694-2377
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Fax | 860-694-2590
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Provider Business Mailing Address
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Address Line | ROUT 12 BLDG 449 NAVAL AMBULATORY CARE CENTER ATTN: PROFESSIONAL AFFAIRS
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City | GROTON
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State | CT
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Zip | 06349-5600
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Country | US
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Telephone | 860-694-2377
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Fax | 860-694-2590
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0036711
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | D0036711
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License Number State | MD
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