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General NPI Number Information
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NPI Number | 1306724166
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Entity Type | Organization
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Legal Business Name | CONVENIENT TELEHEALTH URGENT CARE
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 204 E MAIN ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4401
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Country | US
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Telephone | 610-468-0914
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Fax |
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Provider Business Mailing Address
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Address Line | 204 E MAIN ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4401
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Country | US
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Telephone | 610-468-0914
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | HILDA BOATENG
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Credential | PAC
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Telephone | 610-468-0914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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