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General NPI Number Information
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NPI Number | 1346492386
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Entity Type | Organization
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Legal Business Name | CITY OF DANBURY
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 21 MEMORIAL DR
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City | DANBURY
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State | CT
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Zip | 06810-8005
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Country | US
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Telephone | 203-778-7479
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Fax |
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Provider Business Mailing Address
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Address Line | 155 DEER HILL AVE
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City | DANBURY
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State | CT
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Zip | 06810-7726
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Country | US
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Telephone | 203-797-4510
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Fax | 203-796-1596
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Authorized Official
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Title or Position | MAYOR
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Name | MR. MARK D BOUGHTON
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Credential |
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Telephone | 203-797-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0481
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License Number State | CT
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