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General NPI Number Information
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NPI Number | 1720289861
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Entity Type | Organization
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Legal Business Name | CHARLOTTE HUNGERFORD HOSPITAL
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 540 LITCHFIELD STREET
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City | TORRINGTON
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State | CT
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Zip | 06790-6679
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Country | US
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Telephone | 860-496-6666
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Fax | 860-496-6770
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Provider Business Mailing Address
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Address Line | 540 LITCHFIELD ST
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City | TORRINGTON
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State | CT
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Zip | 06790-6679
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Country | US
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Telephone | 860-496-6666
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Fax | 860-496-6770
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Authorized Official
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Title or Position | DIETETIAN
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Name | MR. JIUSEPPE MICHAEL RUSSO
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Credential | RD
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Telephone | 860-496-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000790
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License Number State | CT
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