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General NPI Number Information
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NPI Number | 1508563818
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Entity Type | Organization
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Legal Business Name | EASTERN HIGHLANDS HEALTH DISTRICT
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 4 S EAGLEVILLE RD
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City | STORRS MANSFIELD
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State | CT
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Zip | 06268-2574
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Country | US
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Telephone | 860-429-3325
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Fax | 860-429-3321
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Provider Business Mailing Address
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Address Line | 4 S EAGLEVILLE RD
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City | STORRS MANSFIELD
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State | CT
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Zip | 06268-2574
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Country | US
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Telephone | 860-429-3325
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Fax | 860-429-3321
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH
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Name | MR. ROBERT L MILLER
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Credential |
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Telephone | 806-429-3325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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