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NPI 1407868052

NPI 1407868052 : WEICHOLZ & BELKIN MD'S : FAIRFIELD, CT

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General NPI Number Information
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    NPI Number           |    1407868052
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEICHOLZ & BELKIN MD'S 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    09/10/2007
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Provider Practice Location Address
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    Address Line         |    2060 BLACK ROCK TPKE 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825
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    Country              |    US
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    Telephone            |    203-384-8248
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    Fax                  |    203-336-1228
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Provider Business Mailing Address
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    Address Line         |    2060 BLACK ROCK TPKE 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825
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    Country              |    US
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    Telephone            |    203-384-8248
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    Fax                  |    203-336-1228
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |     BARTON TUCKER BELKIN 
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    Credential           |    MD
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    Telephone            |    203-384-8248
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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       |    
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    License Number State |    
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