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General NPI Number Information
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NPI Number | 1679588198
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Entity Type | Individual
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Provider Name | AUGUSTO PARRA M.D., M.P.H, FAHA
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 80 SEYMOUR STREET HARTFORD HOSPITAL NEUROLOGY DEPT
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City | HARTFORD
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State | CT
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Zip | 06102-5037
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Country | US
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Telephone | 860-972-3621
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SEYMOUR STREET P.O. BOX 5037 HARTFORD HOSPITAL NEUROLOGY DEPT
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City | HARTFORD
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State | CT
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Zip | 06102-5037
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Country | US
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Telephone | 860-972-0726
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 62003
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 062003
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License Number State | CT
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