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NPI 1336131358

NPI 1336131358 : CARDIAC & THORACIC SURGICAL ASSOC. : WEST HARTFORD, CT

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General NPI Number Information
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    NPI Number           |    1336131358
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARDIAC & THORACIC SURGICAL ASSOC. 
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Dates
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    Enumeration Date     |    08/16/2005
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    Last Update Date     |    02/01/2016
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Provider Practice Location Address
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    Address Line         |    345 N MAIN ST 1ST FLOOR
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    City                 |    WEST HARTFORD
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    State                |    CT
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    Zip                  |    06117-2515
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    Country              |    US
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    Telephone            |    860-244-2300
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    Fax                  |    860-278-1507
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Provider Business Mailing Address
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    Address Line         |    345 N MAIN ST 1ST FLOOR
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    City                 |    WEST HARTFORD
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    State                |    CT
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    Zip                  |    06117-2515
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    Country              |    US
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    Telephone            |    860-244-2300
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    Fax                  |    860-278-1507
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Authorized Official
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    Title or Position    |    M.D.
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    Name                 |     TIMOTHY  LEHMANN 
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    Credential           |    M.D
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    Telephone            |    860-244-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    
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    License Number State |    
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