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General NPI Number Information
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NPI Number | 1073331609
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Entity Type | Organization
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Legal Business Name | HARTFORD ORTHOPEDIC MEDICINE, PLLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 136 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1315
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Country | US
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Telephone | 203-565-5104
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Fax | 860-826-4762
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Provider Business Mailing Address
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Address Line | 136 W MAIN ST FL 3
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1315
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Country | US
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Telephone | 860-800-2859
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Fax | 860-826-4762
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Authorized Official
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Title or Position | LLC MEMBER
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Name | ERIC VOIDE
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Credential |
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Telephone | 860-800-2859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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