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General NPI Number Information
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NPI Number | 1780722306
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Entity Type | Individual
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Provider Name | DONALD ARTHUR POGODA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 W END AVE OLD GREENWICH PROFESSIONAL BLDG.
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1642
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Country | US
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Telephone | 203-637-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 83 DEER RUN RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-7308
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Country | US
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Telephone | 203-255-8913
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5928
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License Number State | CT
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