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General NPI Number Information
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NPI Number | 1942294772
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Entity Type | Individual
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Provider Name | PAUL GAGNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 330 BOSTON POST RD STE 240
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City | DARIEN
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State | CT
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Zip | 06820-3600
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Country | US
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Telephone | 203-548-7858
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Fax | 203-439-4839
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Provider Business Mailing Address
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Address Line | 114 MERRIAM AVE STE 101
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City | LEOMINSTER
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State | MA
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Zip | 01453-3175
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Country | US
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Telephone | 978-534-3399
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 045106
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License Number State | CT
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