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General NPI Number Information
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NPI Number | 1487440301
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Entity Type | Organization
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Legal Business Name | BRETT KING MD LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 425 POST ROAD 2ND FLOOR
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City | FAIRFIELD
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State | CT
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Zip | 06824
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Country | US
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Telephone | 203-292-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 763 ELEVEN O CLOCK RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-1730
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Country | US
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Telephone | 203-675-9818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRETT KING
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Credential | MD
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Telephone | 203-675-9818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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