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General NPI Number Information
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NPI Number | 1669359428
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Entity Type | Organization
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Legal Business Name | BLICK MEDICAL ALLIES ,INC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 149 WATER ST STE 402
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City | NORWALK
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State | CT
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Zip | 06854-3781
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Country | US
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Telephone | 203-842-2894
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Fax | 203-635-5349
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Provider Business Mailing Address
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Address Line | 149 WATER ST STE 402
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City | NORWALK
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State | CT
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Zip | 06854-3781
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Country | US
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Telephone | 203-842-2894
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Fax | 203-635-5349
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Authorized Official
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Title or Position | COFOUNDER CEO
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Name | DR. ALPHONSE LOUIS PAOLILLO JR.
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Credential | DNP, APRN, FNP-BC
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Telephone | 203-410-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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