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General NPI Number Information
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NPI Number | 1932402286
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Entity Type | Organization
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Legal Business Name | TULIN KOPARAN MD PC
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 1275 SUMMER ST SUITE 313
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City | STAMFORD
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State | CT
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Zip | 06905-5359
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Country | US
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Telephone | 203-975-7522
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Fax | 203-975-5233
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Provider Business Mailing Address
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Address Line | 1275 SUMMER ST SUITE 313
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City | STAMFORD
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State | CT
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Zip | 06905-5359
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Country | US
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Telephone | 203-975-7522
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Fax | 203-975-5233
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Authorized Official
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Title or Position | PRESIDENT
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Name | TULIN KOPARAN
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Credential | MD
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Telephone | 203-975-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 031627
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License Number State | CT
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