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General NPI Number Information
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NPI Number | 1568104131
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Entity Type | Organization
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Legal Business Name | STRATFORD PEDIATRIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 2499 MAIN ST
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City | STRATFORD
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State | CT
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Zip | 06615-5843
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Country | US
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Telephone | 203-386-9600
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Fax | 203-386-9609
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Provider Business Mailing Address
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Address Line | 2499 MAIN ST
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City | STRATFORD
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State | CT
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Zip | 06615-5843
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Country | US
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Telephone | 203-386-9600
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Fax | 203-386-9609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDUARDO FIGUEROA
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Credential | M.D.
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Telephone | 203-386-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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