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General NPI Number Information
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NPI Number | 1457161150
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Entity Type | Organization
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Legal Business Name | FIGNAR FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 900 PINE ST STE 127
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4457
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Country | US
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Telephone | 941-681-3333
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Fax | 941-681-3335
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Provider Business Mailing Address
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Address Line | 132 S MILL DR
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City | SOUTH GLASTONBURY
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State | CT
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Zip | 06073-2222
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Country | US
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Telephone | 860-670-4241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY ALAN FIGNAR
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Credential | MD
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Telephone | 860-670-4241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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