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General NPI Number Information
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NPI Number | 1447408299
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Entity Type | Organization
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Legal Business Name | TOLLAND IMAGING CENTER, LLC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 6 FIELDSTONE CMNS SUITE E
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City | TOLLAND
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State | CT
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Zip | 06084-3419
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Country | US
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Telephone | 860-896-4848
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Fax | 860-896-4849
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Provider Business Mailing Address
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Address Line | 111 FOUNDERS PLZ SUITE 400
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3212
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Country | US
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Telephone | 860-246-6589
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Fax | 860-783-5733
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS P MCCONVILLE
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Credential |
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Telephone | 860-533-3429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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