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General NPI Number Information
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NPI Number | 1659678183
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Entity Type | Organization
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Legal Business Name | NAUGATUCK VALLEY WOMEN'S HEALTH SPECIALISTS, P.C.
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 687 STRAITS TPKE SUITE 2A
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City | MIDDLEBURY
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State | CT
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Zip | 06762-2846
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Country | US
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Telephone | 203-575-1811
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Fax | 203-575-1995
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Provider Business Mailing Address
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Address Line | 687 STRAITS TPKE SUITE 2A
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City | MIDDLEBURY
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State | CT
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Zip | 06762-2846
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Country | US
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Telephone | 203-575-1811
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Fax | 203-575-1995
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. JOHN BEIDLER
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Credential |
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Telephone | 203-575-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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