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NPI 1578575593

NPI 1578575593 : DEBORAH ANN DOWNES M.D. : MANCHESTER, CT

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General NPI Number Information
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    NPI Number           |    1578575593
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH ANN DOWNES M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    10/30/2007
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Provider Practice Location Address
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    Address Line         |    230 N MAIN ST 
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    City                 |    MANCHESTER
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    State                |    CT
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    Zip                  |    06042-2004
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    Country              |    US
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    Telephone            |    860-646-4083
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    Fax                  |    860-647-1733
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Provider Business Mailing Address
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    Address Line         |    31 GRIER RD 
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    City                 |    VERNON
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    State                |    CT
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    Zip                  |    06066-6108
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    Country              |    US
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    Telephone            |    860-649-5090
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    Fax                  |    860-647-1733
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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       |    027201
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    License Number State |    CT
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