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General NPI Number Information
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NPI Number | 1740387182
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Entity Type | Organization
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Legal Business Name | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 901 ETHAN ALLEN HIGHWAY SUITE 104
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City | RIDGEFIELD
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State | CT
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Zip | 06877
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Country | US
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Telephone | 203-894-1444
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Fax | 203-739-8199
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Provider Business Mailing Address
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Address Line | 24 HOSPITAL AVENUE
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City | DANBURY
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State | CT
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Zip | 06810
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Country | US
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Telephone | 203-894-1444
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Fax | 203-739-8199
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DANIEL DEBARBA
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Credential |
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Telephone | 203-739-7240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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