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General NPI Number Information
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NPI Number | 1215826516
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Entity Type | Organization
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Legal Business Name | MEDICAL SERVICES OF CONNECTICUT PLLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2080 WHITNEY AVE STE 250
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City | HAMDEN
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State | CT
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Zip | 06518-3606
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Country | US
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Telephone | 516-421-7230
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Fax |
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Provider Business Mailing Address
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Address Line | 290 MADISON AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10017-6375
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Country | US
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Telephone | 305-962-5239
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL NGUYEN
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Credential | MD
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Telephone | 305-962-5239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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