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General NPI Number Information
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NPI Number | 1053477075
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Entity Type | Organization
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Legal Business Name | THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-5011
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Fax | 860-224-5740
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Provider Business Mailing Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-5011
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Fax | 860-224-5740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY HAVICAN
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Credential |
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Telephone | 860-224-5723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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