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General NPI Number Information
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NPI Number | 1114965035
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Entity Type | Organization
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Legal Business Name | NORWICH ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 326 WASHINGTON ST ANESTHESIA DEPARTMENT
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City | NORWICH
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State | CT
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Zip | 06360-2740
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Country | US
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Telephone | 860-823-6395
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Fax | 860-823-6563
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Provider Business Mailing Address
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Address Line | 99 E RIVER DR 5TH FLOOR , ATTN CREDENTIALING
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3288
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Country | US
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Telephone | 860-282-4022
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Fax | 860-282-0834
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES D'AMATO
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Credential | MD
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Telephone | 860-823-6395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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