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General NPI Number Information
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NPI Number | 1487647640
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Entity Type | Individual
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Provider Name | JOSEPH C SCIRICA MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 245 ALVORD PARK RD BLDG B
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City | TORRINGTON
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State | CT
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Zip | 06790-3493
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Country | US
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Telephone | 860-496-0455
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Fax | 860-496-2793
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Provider Business Mailing Address
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Address Line | 30 WATERCHASE DR BLDG B
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City | ROCKY HILL
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State | CT
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Zip | 06067-2110
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Country | US
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Telephone | 860-257-4131
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Fax | 860-496-2793
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 030494
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License Number State | CT
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