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General NPI Number Information
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NPI Number | 1780865998
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Entity Type | Organization
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Legal Business Name | MANCHESTER HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 479 MAIN ST
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City | MANCHESTER
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State | CT
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Zip | 06040-4101
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Country | US
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Telephone | 860-647-3173
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Fax | 860-647-3188
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Provider Business Mailing Address
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Address Line | 479 MAIN ST
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City | MANCHESTER
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State | CT
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Zip | 06040-4101
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Country | US
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Telephone | 860-647-3173
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Fax | 860-647-3188
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH
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Name | MS. MARYANN CHERNIAK-LEXIUS
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Credential |
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Telephone | 860-647-3173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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