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General NPI Number Information
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NPI Number | 1225126014
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Entity Type | Individual
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Provider Name | CATALIN PRALEA MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 399 SILVER STREET, LEAK HALL/RVS
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City | MIDDLETOWN
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State | CT
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Zip | 06457
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Country | US
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Telephone | 860-262-5200
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Fax | 860-262-5316
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Provider Business Mailing Address
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Address Line | 399 SILVER STREET, P.O. BOX 351 LEAK HALL/RVS
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City | MIDDLETOWN
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State | CT
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Zip | 06457
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Country | US
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Telephone | 860-262-5200
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Fax | 860-262-5316
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 040364
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License Number State | CT
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