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General NPI Number Information
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NPI Number | 1477901163
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CONNECTICUT HEALTH SCIENCE CENTER
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-0001
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Country | US
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Telephone | 860-679-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 102 STUART PL
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4740
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Country | US
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Telephone | 434-466-8006
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE PROGRAM COORDINATOR
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Name | SHELLY GIOIA-MORELLI
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Credential |
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Telephone | 860-679-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 6818
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License Number State | OK
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