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General NPI Number Information
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NPI Number | 1710277843
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Entity Type | Individual
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Provider Name | SARA SEIDELMANN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 644 W PUTNAM AVE STE 203
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City | GREENWICH
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State | CT
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Zip | 06830-6088
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Country | US
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Telephone | 203-661-2596
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Fax | 203-625-8331
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Provider Business Mailing Address
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Address Line | 644 W PUTNAM AVE STE 203
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City | GREENWICH
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State | CT
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Zip | 06830-6088
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Country | US
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Telephone | 203-661-2596
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Fax | 203-625-8331
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 61870
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License Number State | CT
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