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General NPI Number Information
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NPI Number | 1134686777
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Entity Type | Organization
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Legal Business Name | FAMILYCAREOFHARTFORD CORP
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 556 ZION ST
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City | HARTFORD
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State | CT
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Zip | 06106-2348
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Country | US
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Telephone | 860-839-5018
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Fax |
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Provider Business Mailing Address
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Address Line | 227 TALCOTT NOTCH RD
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City | FARMINGTON
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State | CT
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Zip | 06032-1630
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Country | US
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Telephone | 860-839-5018
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD AFTAB ZUBAIRI
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Credential | APRN
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Telephone | 860-839-5018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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