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General NPI Number Information
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NPI Number | 1508928615
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Entity Type | Organization
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Legal Business Name | THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-5011
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Fax | 860-224-5740
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Provider Business Mailing Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-5011
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Fax | 860-224-5740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LUCILLE JANATKA
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Credential |
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Telephone | 860-224-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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