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General NPI Number Information
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NPI Number | 1790962140
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Entity Type | Organization
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Legal Business Name | MICHAEL LEGEYT MD LLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 255 NORTH MAIN ST
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City | BRISTOL
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State | CT
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Zip | 06010
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Country | US
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Telephone | 860-223-8500
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Fax | 860-589-4458
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Provider Business Mailing Address
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Address Line | 1 LIBERTY SQUARE
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City | NEW BRITAIN
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State | CT
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Zip | 06050
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Country | US
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Telephone | 860-223-8500
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Fax | 860-223-8512
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | MR. MICHEAL THOMAS LEGEYT
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Credential | M.D.
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Telephone | 860-223-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 037666
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License Number State | CT
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