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General NPI Number Information
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NPI Number | 1285006007
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Entity Type | Organization
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Legal Business Name | DOCS OF CT
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 849 BOSTON POST RD
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City | MILFORD
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State | CT
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Zip | 06460-3537
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Country | US
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Telephone | 203-529-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 163 UNIVERSAL DR N
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3152
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Country | US
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Telephone | 203-466-8060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JASDEEP SIDANA
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Credential | MD
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Telephone | 203-529-3271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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