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General NPI Number Information
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NPI Number | 1740510056
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Entity Type | Organization
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Legal Business Name | MARIE-ANNE DENAYER M.D. LLC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 360 N MAIN ST STE 8
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2503
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Country | US
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Telephone | 860-276-3857
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Fax | 860-276-8198
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Provider Business Mailing Address
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Address Line | 360 N MAIN ST STE 8
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2503
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Country | US
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Telephone | 860-276-3857
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Fax | 860-276-8198
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Authorized Official
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Title or Position | OWNER
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Name | MARIE-ANNE DENAYER
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Credential | M.D.
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Telephone | 860-276-3857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 025012
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License Number State | CT
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