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General NPI Number Information
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NPI Number | 1457896862
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Entity Type | Organization
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Legal Business Name | DOBRITA FAMILY CARE LLC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 46 W AVON RD SUITE 301
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-839-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 46 W AVON RD SUITE 301
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-839-6333
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN, MEMBER
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Name | ALINA DOBRITA
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Credential | MD
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Telephone | 860-839-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 045219
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License Number State | CT
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