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General NPI Number Information
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NPI Number | 1023124625
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Entity Type | Organization
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Legal Business Name | CONNECTICUT GI PLLC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 85 SEYMOUR ST 1000
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City | HARTFORD
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State | CT
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Zip | 06106-5501
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Country | US
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Telephone | 860-246-2571
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Fax | 860-246-3691
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Provider Business Mailing Address
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Address Line | 30 WATERCHASE DR
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City | ROCKY HILL
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State | CT
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Zip | 06067-2110
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Country | US
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Telephone | 860-257-4131
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Fax | 860-257-4519
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY L NESTLER
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Credential | MD
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Telephone | 860-246-2571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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