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General NPI Number Information
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NPI Number | 1477197275
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Entity Type | Organization
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Legal Business Name | ESTUARY TRANSIT DISTRICT
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 17 INDUSTRIAL PARK RD STE 6
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City | CENTERBROOK
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State | CT
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Zip | 06409-1062
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Country | US
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Telephone | 860-510-0429
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Fax | 860-395-0248
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Provider Business Mailing Address
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Address Line | 17 INDUSTRIAL PARK RD STE 6
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City | CENTERBROOK
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State | CT
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Zip | 06409-1062
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Country | US
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Telephone | 860-510-0429
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Fax | 860-395-0248
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOSEPH COMERFORD
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Credential |
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Telephone | 860-510-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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