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General NPI Number Information
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NPI Number | 1750420048
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Entity Type | Organization
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Legal Business Name | ORTHOCONNECTICUT, PLLC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 90 GROVE ST STE 107
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4129
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Country | US
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Telephone | 203-797-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 18444 N 25TH AVE STE 320
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City | PHOENIX
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State | AZ
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Zip | 85023-1266
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Country | US
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Telephone | 623-241-8730
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Fax | 623-544-5531
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Authorized Official
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Title or Position | CEO
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Name | PAUL SIROIS
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Credential |
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Telephone | 203-702-6603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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