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General NPI Number Information
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NPI Number | 1760283576
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Entity Type | Organization
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Legal Business Name | AJT UROLOGY LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 6 NORTHWESTERN DR STE 101
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3416
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Country | US
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Telephone | 860-580-5656
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Fax | 860-580-5799
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Provider Business Mailing Address
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Address Line | 30 JORDAN LN STE 2
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City | WETHERSFIELD
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State | CT
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Zip | 06109-1278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | AARON TURNQUIST
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Credential | MD
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Telephone | 860-580-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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