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General NPI Number Information
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NPI Number | 1295910966
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Entity Type | Organization
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Legal Business Name | DANBURY OFFICE OF PHYSICIAN SERVICES
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 18 GREAT PLAIN RD
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City | DANBURY
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State | CT
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Zip | 06810-5022
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Country | US
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Telephone | 203-790-2209
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Fax | 203-790-2270
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Provider Business Mailing Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-6099
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Country | US
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Telephone | 203-797-7007
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Fax | 203-739-8959
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. ROBERT MAHLER
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Credential | M.D.
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Telephone | 203-797-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 039905
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License Number State | CT
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