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General NPI Number Information
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NPI Number | 1528161403
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Entity Type | Individual
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Provider Name | DARRON ADAM BACAL MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 202 CHERRY STREET EYE PHYSICIANS & SURGEON PC
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City | MILFORD
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State | CT
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Zip | 06460-3502
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Country | US
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Telephone | 203-878-1236
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Fax | 203-876-5196
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Provider Business Mailing Address
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Address Line | 409 NICHOLS AVENUE
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City | SHELTON
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State | CT
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Zip | 06484
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Country | US
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Telephone | 203-915-6819
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Fax | 203-876-5196
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 035828
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 329389-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 035828
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License Number State | CT
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