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General NPI Number Information
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NPI Number | 1609204122
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Entity Type | Organization
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Legal Business Name | STONY CREEK MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 236 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3236
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Country | US
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Telephone | 203-815-1054
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Fax | 203-298-9874
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Provider Business Mailing Address
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Address Line | 6 BUSINESS PARK DR SUITE 302
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City | BRANFORD
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State | CT
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Zip | 06405-2988
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Country | US
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Telephone | 203-980-1359
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Fax | 203-483-4581
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MAYUMI DEANNA NODA YOUNG
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Credential |
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Telephone | 203-483-4580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 042996
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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 | 041818
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 041818
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License Number State | CT
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