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General NPI Number Information
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NPI Number | 1679761233
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Entity Type | Organization
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Legal Business Name | FIRST AID IMMEDIATE CARE MEDICAL CENTER
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 900 WHITE PLAINS RD
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City | TRUMBULL
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State | CT
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Zip | 06611-5727
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Country | US
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Telephone | 203-261-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 900 WHITE PLAINS RD
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City | TRUMBULL
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State | CT
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Zip | 06611
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Country | US
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Telephone | 203-261-6111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD LOUIS ZANGRILLO
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Credential | M.D
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Telephone | 203-261-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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