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General NPI Number Information
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NPI Number | 1184639973
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Entity Type | Organization
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Legal Business Name | THE GRIFFIN HOSPITAL
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 130 DIVISION ST
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City | DERBY
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State | CT
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Zip | 06418-1326
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Country | US
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Telephone | 203-732-7360
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Fax | 203-732-7386
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Provider Business Mailing Address
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Address Line | 130 DIVISION ST
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City | DERBY
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State | CT
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Zip | 06418-1326
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Country | US
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Telephone | 203-732-7360
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Fax | 203-732-7386
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | MR. PATRICK CHARMEL
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Credential |
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Telephone | 203-732-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 0034
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0034
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0034
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0034
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License Number State | CT
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