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General NPI Number Information
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NPI Number | 1093519183
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Entity Type | Organization
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Legal Business Name | MIDDLESEX HOSPITAL
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 536 SAYBROOK RD LOWER LEVEL
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4783
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Country | US
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Telephone | 860-358-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 536 SAYBROOK RD LOWER LEVEL
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4783
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Country | US
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Telephone | 860-358-2040
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Fax |
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Authorized Official
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Title or Position | CFO V.P.
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Name | SUSAN MARTIN
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Credential |
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Telephone | 860-358-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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