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NPI 1477474138

NPI 1477474138 : THEODORE T HIOS : FAIRFIELD, CT

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General NPI Number Information
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    NPI Number           |    1477474138
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    Entity Type          |    Individual 
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    Provider Name        |    THEODORE T HIOS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/21/2026
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    Last Update Date     |    07/21/2026
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Provider Practice Location Address
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    Address Line         |    166 PALAMAR DR 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825-2538
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    Country              |    US
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    Telephone            |    203-550-6004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    166 PALAMAR DR 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825-2538
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    Country              |    US
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    Telephone            |    203-550-6004
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    NA
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    License Number State |    CT
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