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General NPI Number Information
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NPI Number | 1023125523
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Entity Type | Individual
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Provider Name | LOUIS A. TELESFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 2337 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3539
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Country | US
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Telephone | 203-248-8142
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Fax | 203-248-7764
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Provider Business Mailing Address
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Address Line | 2337 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3539
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Country | US
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Telephone | 203-675-3838
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 034211
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License Number State | CT
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