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NPI 1568699692

NPI 1568699692 : HENRY K. DANZIGER DDS : NAUGATUCK, CT

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General NPI Number Information
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    NPI Number           |    1568699692
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    Entity Type          |    Organization 
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    Legal Business Name  |    HENRY K. DANZIGER DDS 
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Dates
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    Enumeration Date     |    06/16/2009
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    Last Update Date     |    06/16/2009
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Provider Practice Location Address
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    Address Line         |    297 CHURCH ST 
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    City                 |    NAUGATUCK
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    State                |    CT
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    Zip                  |    06770-2840
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    Country              |    US
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    Telephone            |    203-729-0563
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    Fax                  |    203-723-9997
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Provider Business Mailing Address
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    Address Line         |    297 CHURCH ST 
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    City                 |    NAUGATUCK
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    State                |    CT
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    Zip                  |    06770-2840
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    Country              |    US
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    Telephone            |    203-729-0563
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    Fax                  |    203-723-9997
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. HENRY K. DANZIGER 
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    Credential           |    DDS
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    Telephone            |    203-729-0563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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