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NPI 1770548810

NPI 1770548810 : KURT V VOELLMICKE MD : WESTPORT, CT

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General NPI Number Information
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    NPI Number           |    1770548810
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    Entity Type          |    Individual 
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    Provider Name        |    KURT V VOELLMICKE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/20/2006
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    Last Update Date     |    12/13/2024
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Provider Practice Location Address
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    Address Line         |    276 POST RD W 
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    City                 |    WESTPORT
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    State                |    CT
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    Zip                  |    06889-3412
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    Country              |    US
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    Telephone            |    203-291-2275
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    Fax                  |    203-391-2277
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Provider Business Mailing Address
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    Address Line         |    PO BOX 29234 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10087-9234
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    Country              |    US
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    Telephone            |    203-391-2275
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    Fax                  |    203-391-2277
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    40208
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    208465
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    208465
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    License Number State |    NY
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