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General NPI Number Information
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NPI Number | 1083214407
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Entity Type | Organization
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Legal Business Name | NEUROPATHY TREATMENT CENTER LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 132 FEDERAL RD STE 103
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City | DANBURY
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State | CT
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Zip | 06811-4047
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Country | US
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Telephone | 203-730-1165
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Fax | 855-552-3776
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Provider Business Mailing Address
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Address Line | 132 FEDERAL RD STE 103
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City | DANBURY
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State | CT
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Zip | 06811-4047
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Country | US
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Telephone | 203-730-1165
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Fax | 855-552-3776
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID WALTZER
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Credential | DC
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Telephone | 203-948-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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