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General NPI Number Information
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NPI Number | 1881945251
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Entity Type | Organization
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Legal Business Name | AUERBACH PEDIATRICS LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 25 CHURCH HILL RD SUITE 102
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City | NEWTOWN
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State | CT
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Zip | 06470-1639
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Country | US
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Telephone | 203-426-5437
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Fax | 203-426-2100
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Provider Business Mailing Address
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Address Line | 25 CHURCH HILL RD SUITE 102
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City | NEWTOWN
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State | CT
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Zip | 06470-1639
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Country | US
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Telephone | 203-426-5437
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Fax | 203-426-2100
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Authorized Official
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Title or Position | MEMBER, AUERBACH PEDIATRICS, LLC
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Name | DR. RICHARD J AUERBACH
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Credential | MD
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Telephone | 203-426-5437
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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 | 042702
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 001501
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 037535
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License Number State | CT
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