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General NPI Number Information
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NPI Number | 1801867767
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Entity Type | Individual
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Provider Name | DENNIS K FOLEY PA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 100 SIMSBURY RD SUITE 203
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City | AVON
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State | CT
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Zip | 06001-3793
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Country | US
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Telephone | 860-284-5111
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Fax | 860-284-5114
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Provider Business Mailing Address
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Address Line | 100 SIMSBURY RD SUITE 203
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City | AVON
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State | CT
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Zip | 06001-3793
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Country | US
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Telephone | 860-284-5111
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Fax | 860-284-5114
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 000317
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License Number State | CT
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