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General NPI Number Information
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NPI Number | 1598938367
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Entity Type | Organization
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Legal Business Name | HINDOLA KONRAD MD, PC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 164 MOUNT PLEASANT RD STE 201
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City | NEWTOWN
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State | CT
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Zip | 06470-1475
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Country | US
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Telephone | 203-297-6869
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Fax |
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Provider Business Mailing Address
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Address Line | 164 MOUNT PLEASANT RD STE 201
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City | NEWTOWN
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State | CT
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Zip | 06470-1475
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Country | US
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Telephone | 203-297-6869
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | ARACELI SAAVEDRA
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Credential |
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Telephone | 203-297-6869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 037958
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License Number State | CT
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