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General NPI Number Information
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NPI Number | 1093716938
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Entity Type | Individual
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Provider Name | ALAN DAVID DREZNER MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06106-3315
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Country | US
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Telephone | 860-522-4158
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Fax | 860-524-2652
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Provider Business Mailing Address
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Address Line | 28 WRIGHT DR
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City | AVON
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State | CT
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Zip | 06001-2106
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Country | US
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Telephone | 860-677-8870
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 015495
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 015495
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 015495
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License Number State | CT
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