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General NPI Number Information
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NPI Number | 1013899731
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Entity Type | Organization
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Legal Business Name | ECC ANCILLARY SERVICES, P.C.
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2200 WHITNEY AVE STE 380
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City | HAMDEN
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State | CT
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Zip | 06518-3602
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Country | US
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Telephone | 203-281-3636
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Fax | 203-287-2934
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Provider Business Mailing Address
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Address Line | 2200 WHITNEY AVE STE 380
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City | HAMDEN
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State | CT
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Zip | 06518-3602
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Country | US
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Telephone | 203-281-3636
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Fax | 203-287-2934
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MICHAEL LOIACONO
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Credential | D.O
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Telephone | 203-281-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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