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General NPI Number Information
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NPI Number | 1598158107
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Entity Type | Individual
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Provider Name | FREDERICK NAFTOLIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2015
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Last Update Date | 03/07/2015
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Provider Practice Location Address
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Address Line | 4 STONEWALL LN
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City | WOODBRIDGE
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State | CT
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Zip | 06525-1413
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Country | US
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Telephone | 203-298-9315
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Fax | 203-387-6068
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Provider Business Mailing Address
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Address Line | 4 STONEWALL LN
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City | WOODBRIDGE
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State | CT
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Zip | 06525-1413
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Country | US
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Telephone | 203-298-9315
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Fax | 203-387-6068
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 021019
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20310
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License Number State | CA
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