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General NPI Number Information
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NPI Number | 1922200559
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Entity Type | Organization
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Legal Business Name | PATRICIA LAMPUGNALE, D.O., LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 31 SYCAMORE ST SUITE 201-B
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City | GLASTONBURY
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State | CT
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Zip | 06033-4540
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Country | US
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Telephone | 860-659-0629
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Fax | 860-714-6698
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Provider Business Mailing Address
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Address Line | 31 SYCAMORE ST SUITE 201-B
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City | GLASTONBURY
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State | CT
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Zip | 06033-4540
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Country | US
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Telephone | 860-659-0629
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Fax | 860-714-6698
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PATRICIA LAMPUGNALE
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Credential | D.O.
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Telephone | 860-659-0629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 000397
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License Number State | CT
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