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General NPI Number Information
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NPI Number | 1316001324
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Entity Type | Organization
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Legal Business Name | CONNECTICUT OB-GYN,LLC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 27 BURNSIDE AVE
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3405
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Country | US
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Telephone | 860-761-1234
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Fax | 203-413-6229
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Provider Business Mailing Address
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Address Line | 27 BURNSIDE AVE
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3405
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Country | US
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Telephone | 860-761-1234
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Fax | 203-413-6229
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Authorized Official
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Title or Position | OWNER
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Name | PARESH LIMAYE
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Credential | M.D.
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Telephone | 860-761-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | CT
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