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General NPI Number Information
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NPI Number | 1790974012
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Entity Type | Organization
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Legal Business Name | THE HEALTHY CHILD,L.L.C.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 722 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-4731
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Country | US
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Telephone | 203-655-6000
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Fax | 203-655-6003
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Provider Business Mailing Address
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Address Line | 722 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-4731
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Country | US
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Telephone | 203-655-6000
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Fax | 203-655-6003
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. CECILE P WINDELS
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Credential |
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Telephone | 203-655-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 028744
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License Number State | CT
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