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General NPI Number Information
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NPI Number | 1952586497
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH MACKEN MD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 55 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-4427
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Country | US
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Telephone | 203-762-3363
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Fax | 203-762-1999
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Provider Business Mailing Address
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Address Line | 55 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-4427
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Country | US
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Telephone | 203-762-3363
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Fax | 203-762-1999
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | ALPP-34185
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 047554
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License Number State | CT
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