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General NPI Number Information
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NPI Number | 1700075355
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Entity Type | Organization
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Legal Business Name | HEALTH ONE PHYSICIAN ASSOCIATES PC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 851 MARSHALL PHELPS ROAD HEALTH ONE WINDSOR FAMILY MEDICINE
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City | WINDSOR
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State | CT
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Zip | 06095
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Country | US
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Telephone | 860-683-0756
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Fax | 860-683-1555
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Provider Business Mailing Address
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Address Line | 113 ELM STREET HEALTH ONE PHYSICIAN ASSOCIATES PC SUITE 302
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City | ENFIELD
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State | CT
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Zip | 06082
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Country | US
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Telephone | 860-741-3069
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Fax | 860-745-3864
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN T O'BRIEN
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Credential | MD
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Telephone | 860-741-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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