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General NPI Number Information
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NPI Number | 1801849146
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Entity Type | Organization
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Legal Business Name | HARTFORD PHYSICIAN'S MANAGEMENT CORP.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 1 MAIN ST UNIT N1
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City | HARTFORD
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State | CT
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Zip | 06106-1806
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Country | US
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Telephone | 860-525-1900
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Fax | 860-522-9913
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Provider Business Mailing Address
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Address Line | 601 CHAPEL AVE E SUITE B
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City | CHERRY HILL
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State | NJ
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Zip | 08034-1407
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Country | US
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Telephone | 856-356-4025
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Fax | 856-356-4038
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Authorized Official
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Title or Position | COO
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Name | ANGELA LAZARUS
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Credential | JD
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Telephone | 856-356-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 0009
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License Number State | CT
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