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General NPI Number Information
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NPI Number | 1003873233
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Entity Type | Organization
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Legal Business Name | MIDDLESEX HOSPITAL
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 117 MAIN STREET EXT
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3849
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Country | US
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Telephone | 860-358-5600
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Fax | 860-358-5723
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Provider Business Mailing Address
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Address Line | 770 SAYBROOK RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4739
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Country | US
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Telephone | 860-358-5730
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Fax | 860-358-5723
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | ALLISON DOWE
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Credential |
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Telephone | 860-358-5730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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