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General NPI Number Information
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NPI Number | 1124917323
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Entity Type | Organization
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Legal Business Name | CT SPORTS RECOVERY PLLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 215 MAIN ST
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City | WESTPORT
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State | CT
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Zip | 06880-3210
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Country | US
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Telephone | 203-651-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SADDLE RD
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City | NORWALK
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State | CT
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Zip | 06851-3222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL BETLER
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Credential |
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Telephone | 203-651-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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