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General NPI Number Information
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NPI Number | 1427972082
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Entity Type | Organization
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Legal Business Name | PROASSIST SPECIALITIES LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 60 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-4486
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Country | US
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Telephone | 475-257-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PORTER FARM RD
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1179
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Country | US
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Telephone | 774-222-3644
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MR. CHRISTOPHER LEAVITT
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Credential | PA-C
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Telephone | 774-222-3644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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