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General NPI Number Information
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NPI Number | 1417450644
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Entity Type | Organization
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Legal Business Name | AMERICAN FERTILITY SERVICES
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 100 PUTNAM GRN
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City | GREENWICH
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State | CT
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Zip | 06830-6877
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Country | US
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Telephone | 203-774-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PUTNAM GRN
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City | GREENWICH
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State | CT
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Zip | 06830-6877
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Country | US
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Telephone | 203-774-9900
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOAO C DE PINHO
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Credential | MD
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Telephone | 203-774-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 54756
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License Number State | CT
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