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General NPI Number Information
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NPI Number | 1437733219
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Entity Type | Individual
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Provider Name | MS. CHRISTEL AUTUORI
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Gender | Female
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Dates
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Enumeration Date | 05/08/2021
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Last Update Date | 05/08/2021
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Provider Practice Location Address
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Address Line | 181 WHITE ST
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City | DANBURY
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State | CT
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Zip | 06810-6826
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Country | US
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Telephone | 203-837-8559
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 269
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City | RIDGEFIELD
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State | CT
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Zip | 06877-0269
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Country | US
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Telephone | 203-788-0647
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2282
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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