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General NPI Number Information
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NPI Number | 1427197193
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Entity Type | Organization
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Legal Business Name | RIDGEFIELD PEDIATRIC ASSOCIATES
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 38 B GROVE ST
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City | RIDGEFIELD
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State | CT
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Zip | 06877
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Country | US
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Telephone | 203-438-9557
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Fax | 203-438-7857
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Provider Business Mailing Address
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Address Line | 38 B GROVE ST
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City | RIDGEFIELD
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State | CT
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Zip | 06877
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Country | US
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Telephone | 203-438-9557
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Fax | 203-438-7857
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | MR. ANIL JOHN BRITTO
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Credential | MD
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Telephone | 203-438-9557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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