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General NPI Number Information
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NPI Number | 1588013205
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Entity Type | Organization
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Legal Business Name | FIORITA VALENTINO LLC
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 246 FEDERAL RD C23A
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-512-2082
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Fax | 475-282-4168
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Provider Business Mailing Address
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Address Line | 365 MACON DR
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City | BRIDGEPORT
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State | CT
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Zip | 06606-1209
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Country | US
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Telephone | 203-512-2082
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | FIORITA VALENTINO
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Credential |
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Telephone | 203-512-2082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000345
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 015327
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 004388
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003049
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License Number State | NY
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