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General NPI Number Information
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NPI Number | 1609782630
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Entity Type | Organization
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Legal Business Name | CT LYMPH CLINIC LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 97 SHAWN DR
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City | BRISTOL
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State | CT
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Zip | 06010-2737
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Country | US
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Telephone | 959-988-2981
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Fax |
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Provider Business Mailing Address
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Address Line | 163 ROCK CREEK LN
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City | TORRINGTON
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State | CT
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Zip | 06790-3564
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Country | US
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Telephone | 959-988-2981
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD DANISH IQBAL
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Credential | PT
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Telephone | 959-988-2981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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