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General NPI Number Information
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NPI Number | 1508065657
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Entity Type | Organization
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Legal Business Name | EAR,NOSE & THROAT OF GREATER HARTFORD, P.C.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 4 NORTHWESTERN DR SUITE 300
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3444
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Country | US
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Telephone | 860-243-8997
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Fax | 860-769-6803
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Provider Business Mailing Address
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Address Line | 4 NORTHWESTERN DR SUITE 300
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3444
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Country | US
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Telephone | 860-243-8997
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Fax | 860-769-6803
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD J SAXON
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Credential | MD
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Telephone | 860-243-8997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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