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General NPI Number Information
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NPI Number | 1780449033
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Entity Type | Organization
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Legal Business Name | CT HEALTH ADVOCATE LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2837 MAIN ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-1030
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Country | US
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Telephone | 203-441-3180
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Fax | 888-880-7706
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Provider Business Mailing Address
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Address Line | 2837 MAIN ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-1030
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Country | US
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Telephone | 203-441-3180
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Fax | 888-880-7706
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. RIA IRONS
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Credential | LPN, CHW
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Telephone | 203-517-7940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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