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General NPI Number Information
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NPI Number | 1679752083
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Entity Type | Individual
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Provider Name | SANDY PAIS NARCISO-OWEN P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | SACRED HEART UNIVERSITY, PHYSICIAN ASSISTANT STUDIES 5151 PARK AVENUE
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City | FAIRFIELD
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State | CT
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Zip | 06825
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Country | US
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Telephone | 39-899-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 36 CODFISH HILL RD
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City | BETHEL
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State | CT
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Zip | 06801-3305
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Country | US
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Telephone | 203-744-3575
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001990
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License Number State | CT
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