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General NPI Number Information
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NPI Number | 1164601795
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Entity Type | Organization
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Legal Business Name | ASPETUCK HEALTH DISTRICT
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 180 BAYBERRY LN
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City | WESTPORT
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State | CT
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Zip | 06880-2802
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Country | US
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Telephone | 203-227-9571
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Fax | 203-221-7199
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Provider Business Mailing Address
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Address Line | 180 BAYBERRY LANE
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City | WESTPORT
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State | CT
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Zip | 06880-2802
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Country | US
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Telephone | 203-227-9571
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Fax | 203-221-7199
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH
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Name | LUCI BANGO
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Credential |
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Telephone | 203-227-6591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 034778
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License Number State | CT
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