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General NPI Number Information
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NPI Number | 1457423493
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Entity Type | Individual
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Provider Name | ALESSANDRA BUONOPANE M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 246 WOLCOTT RD
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City | WOLCOTT
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State | CT
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Zip | 06716-2641
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Country | US
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Telephone | 203-879-3230
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Fax | 203-654-3018
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Provider Business Mailing Address
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Address Line | 31 WARMINGHAM CT
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City | CHESHIRE
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State | CT
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Zip | 06410-1512
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Country | US
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Telephone | 203-631-9201
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Fax | 203-654-3018
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 039423
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License Number State | CT
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