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General NPI Number Information
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NPI Number | 1467579540
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY NEUROLOGY, LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 577 SAYBROOK RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4718
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Country | US
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Telephone | 860-347-0088
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Fax | 860-344-0600
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Provider Business Mailing Address
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Address Line | 577 SAYBROOK RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4718
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Country | US
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Telephone | 860-347-0088
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Fax | 860-344-0600
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER SINCLAIR
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Credential | M.D.
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Telephone | 860-347-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 042228
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License Number State | CT
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