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General NPI Number Information
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NPI Number | 1770558108
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Entity Type | Individual
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Provider Name | CLIFF R DRECHSLER-MARTELL MD
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Gender | Male
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 324 RIDGE RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4435
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Country | US
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Telephone | 860-347-0140
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Fax | 860-346-3991
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | MIDDLETOWN
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State | CT
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Zip | 06457-0067
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Country | US
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Telephone | 860-347-0140
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Fax | 860-346-3991
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 023776
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License Number State | CT
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