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General NPI Number Information
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NPI Number | 1295785905
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Entity Type | Individual
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Provider Name | LEO CONTOIS MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06032-1956
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Country | US
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Telephone | 860-679-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E RIVER DR FL 5
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City | EAST HARTFORD
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State | CT
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Zip | 06108-7301
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Country | US
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Telephone | 860-282-4104
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Fax | 860-714-8110
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 031191
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License Number State | CT
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