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General NPI Number Information
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NPI Number | 1811426976
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Entity Type | Organization
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Legal Business Name | CHESTNUT SLEEP CONSULTANTS LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 220 CHESTNUT GRV
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City | GUILFORD
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State | CT
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Zip | 06437-1385
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Country | US
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Telephone | 203-376-6886
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Fax |
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Provider Business Mailing Address
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Address Line | 220 CHESTNUT GRV
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City | GUILFORD
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State | CT
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Zip | 06437-1385
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Country | US
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Telephone | 203-376-6886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS ABBENANTE
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Credential | MD
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Telephone | 203-376-6886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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