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NPI 1750312955

NPI 1750312955 : STEVEN A THAU M.D. : WESTPORT, CT

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General NPI Number Information
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    NPI Number           |    1750312955
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN A THAU M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/05/2006
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    Last Update Date     |    02/22/2023
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Provider Practice Location Address
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    Address Line         |    1505 POST RD E STE 100 
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    City                 |    WESTPORT
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    State                |    CT
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    Zip                  |    06880-5512
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    Country              |    US
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    Telephone            |    203-221-3370
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    Fax                  |    203-221-3380
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Provider Business Mailing Address
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    Address Line         |    1505 POST RD E STE 101 
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    City                 |    WESTPORT
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    State                |    CT
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    Zip                  |    06880-5512
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    Country              |    US
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    Telephone            |    203-221-3370
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    Fax                  |    203-221-3380
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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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    288762
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    038716
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    License Number State |    CT
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