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General NPI Number Information
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NPI Number | 1396196515
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDERS CENTER OF CONNECTICUT
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 83 EAST AVE SUITE#300
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City | NORWALK
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State | CT
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Zip | 06851-4902
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Country | US
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Telephone | 203-939-9688
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Fax | 203-939-9690
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Provider Business Mailing Address
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Address Line | 83 EAST AVE SUITE#300
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City | NORWALK
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State | CT
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Zip | 06851-4902
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Country | US
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Telephone | 203-939-9688
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Fax | 203-939-9690
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. NEELAM GUPTA
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Credential |
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Telephone | 203-939-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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