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General NPI Number Information
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NPI Number | 1700675790
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Entity Type | Organization
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Legal Business Name | FIREPIT HEALTH MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 35 ELM ST STE 1L
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City | NEW HAVEN
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State | CT
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Zip | 06510-2023
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Country | US
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Telephone | 203-689-0850
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Fax | 888-830-3669
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Provider Business Mailing Address
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Address Line | 14 ALEWIVE BROOK RD
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City | EAST HAMPTON
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State | NY
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Zip | 11937-1190
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Country | US
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Telephone | 203-689-0850
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Fax | 888-830-3669
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | HAMILTON GAIANI
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Credential |
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Telephone | 203-689-0850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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