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General NPI Number Information
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NPI Number | 1811811649
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Entity Type | Individual
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Provider Name | MICAYLA FLYNN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 999 SUMMER ST STE 104
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City | STAMFORD
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State | CT
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Zip | 06905-5513
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Country | US
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Telephone | 203-504-2408
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BROAD ST APT 2130
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City | STAMFORD
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State | CT
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Zip | 06901-2069
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Country | US
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Telephone | 860-898-0335
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CT
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