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General NPI Number Information
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NPI Number | 1912289158
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Entity Type | Organization
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Legal Business Name | NEW FAIRFIELD HEALTH AND INJURY CENTER PC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 100 ROUTE 37 FAIRWOOD PROFESSIONAL BUILDING
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City | NEW FAIRFIELD
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State | CT
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Zip | 06812
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Country | US
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Telephone | 203-546-7320
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Fax | 203-546-7323
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Provider Business Mailing Address
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Address Line | 100 ROUTE 37 FAIRWOOD PROFESSIONAL BUILDING
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City | NEW FAIRFIELD
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State | CT
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Zip | 06812
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Country | US
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Telephone | 203-546-7320
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Fax | 203-546-7323
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Authorized Official
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Title or Position | OWNER
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Name | PAUL CIATTO
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Credential | DC
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Telephone | 203-546-7320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | X010705
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License Number State | CT
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