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NPI 1417014507

NPI 1417014507 : CITY OF DANBURY : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1417014507
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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     |    01/02/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    72 HOSPITAL AVE 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-6021
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    Country              |    US
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    Telephone            |    203-731-8272
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    Fax                  |    203-731-8275
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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            |    203-797-4625
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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            |    203-797-4625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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