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General NPI Number Information
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NPI Number | 1598135899
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Entity Type | Organization
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Legal Business Name | URGENT CARE OF HAMDEN, LLC
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 2165 DIXWELL AVE
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City | HAMDEN
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State | CT
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Zip | 06514-2116
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Country | US
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Telephone | 860-241-2727
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Fax | 866-405-4770
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Provider Business Mailing Address
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Address Line | 31 OLD ROUTE 7
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City | BROOKFIELD
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State | CT
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Zip | 06804-1711
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Country | US
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Telephone | 203-885-0808
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Fax | 203-885-0813
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Authorized Official
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Title or Position | CMO
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Name | JEANNIE M KENKARE
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Credential | DO
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Telephone | 203-885-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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