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General NPI Number Information
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NPI Number | 1730199407
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Entity Type | Organization
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Legal Business Name | RONALD H. DELFINI, DDS, PC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1204 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4777
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Country | US
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Telephone | 203-787-4770
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Fax | 203-498-2825
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Provider Business Mailing Address
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Address Line | 1204 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4777
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Country | US
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Telephone | 203-787-4770
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Fax | 203-498-2825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD DELFINI
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Credential | DDS
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Telephone | 203-787-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 4265
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 7947
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License Number State | CT
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