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General NPI Number Information
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NPI Number | 1033737200
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Entity Type | Individual
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Provider Name | NEENU SUKUMARAN MBBS
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 538 LITCHFIELD ST STE 101
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City | TORRINGTON
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State | CT
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Zip | 06790-6669
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Country | US
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Telephone | 860-496-1790
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Fax | 860-496-0251
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Provider Business Mailing Address
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Address Line | 538 LITCHFIELD ST STE 101
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City | TORRINGTON
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State | CT
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Zip | 06790-6669
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Country | US
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Telephone | 860-496-1790
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Fax | 860-496-0251
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 82304
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License Number State | CT
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