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General NPI Number Information
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NPI Number | 1154533883
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Entity Type | Organization
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Legal Business Name | TUNXIS COMMUNITY COLLEGE
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE UNIVERSITY OF CONNECTICUT HEALTH CENTER
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City | FARMINGTON
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State | CT
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Zip | 06032
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Country | US
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Telephone | 860-255-3654
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Fax | 860-255-3649
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Provider Business Mailing Address
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Address Line | 271 SCOTT SWAMP ROAD
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City | FARMINGTON
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State | CT
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Zip | 06032
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Country | US
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Telephone | 860-255-3733
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Fax | 860-255-3649
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Authorized Official
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Title or Position | INSTRUCTOR OF DENTAL HYGIENE
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Name | MRS. JULIE A NOCERA
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Credential | RDH MS
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Telephone | 860-255-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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