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General NPI Number Information
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NPI Number | 1558125708
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Entity Type | Organization
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Legal Business Name | REGENERATIVE MEDICINE CONNECTICUT PLLC
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 1 LONG WHARF DR STE 303
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City | NEW HAVEN
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State | CT
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Zip | 06511-5944
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Country | US
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Telephone | 860-270-0755
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Fax | 413-305-1867
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Provider Business Mailing Address
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Address Line | 10 WHITTIER RD
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City | WELLESLEY
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State | MA
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Zip | 02481-5236
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Country | US
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Telephone | 202-841-7339
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Fax | 413-305-1867
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EMILY NARDONE
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Credential |
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Telephone | 202-841-7339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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