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General NPI Number Information
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NPI Number | 1700106812
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Entity Type | Individual
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Provider Name | CRAIG BARRY MOSKOWITZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 11/27/2022
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Provider Practice Location Address
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Address Line | 80 SEYMOUR STREET HARTFORD HOSPITAL CARDIOLOGY 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 | 860-972-1506
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Fax |
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Provider Business Mailing Address
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Address Line | 85 JEFFERSON STREET HARTFORD HOSPITAL CARDIOLOGY DEPT
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City | HARTFORD
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State | CT
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Zip | 06106
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Country | US
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Telephone | 860-972-1506
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 052013
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License Number State | CT
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