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General NPI Number Information
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NPI Number | 1780092445
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Entity Type | Organization
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Legal Business Name | QUINNIPIAC ENDODONTICS, LLC
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 6 PARK PL
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1403
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Country | US
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Telephone | 860-225-5555
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Fax | 860-827-9124
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Provider Business Mailing Address
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Address Line | 35 PEARL ST. SUITE 201
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City | NEW BRITAIN
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State | CT
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Zip | 06051
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Country | US
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Telephone | 860-225-5555
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Fax | 860-827-9124
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | EDMUND G. HOHMANN SR.
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Credential | D.D.S.
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Telephone | 860-225-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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