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General NPI Number Information
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NPI Number | 1578830584
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Entity Type | Organization
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Legal Business Name | DARIEN PEDIATRIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 106 NOROTON AVENUE
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City | DARIEN
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State | CT
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Zip | 06820
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Country | US
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Telephone | 203-655-9741
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Fax | 203-655-9249
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Provider Business Mailing Address
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Address Line | 106 NOROTON AVENUE
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City | DARIEN
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State | CT
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Zip | 06820
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Country | US
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Telephone | 203-655-9741
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Fax | 203-655-9249
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Authorized Official
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Title or Position | M.D./OWNER-PARTNER
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Name | MICHAEL N. SUCHENSKI
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Credential | MD
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Telephone | 203-655-9741
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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 | 027977
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 029906
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 040425
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12967
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License Number State | CT
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