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General NPI Number Information
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NPI Number | 1407226335
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Entity Type | Organization
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Legal Business Name | CONNECTICUT HAND CENTER, PC
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 59 FAIR HARBOUR PL
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City | NEW LONDON
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State | CT
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Zip | 06320-4739
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Country | US
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Telephone | 203-245-4500
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Fax | 203-779-1045
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Provider Business Mailing Address
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Address Line | 59 FAIR HARBOUR PL
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City | NEW LONDON
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State | CT
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Zip | 06320-4739
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Country | US
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Telephone | 203-245-4500
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Fax | 203-779-1045
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | SEPEHR SAJJAD
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Credential | MD
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Telephone | 203-245-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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