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General NPI Number Information
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NPI Number | 1881510733
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Entity Type | Organization
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Legal Business Name | ELITE ENDO CARE PLLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 576 FARMINGTON AVE
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City | HARTFORD
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State | CT
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Zip | 06105-3015
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Country | US
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Telephone | 860-899-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 71 CHURCHILL WAY
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City | NEWINGTON
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State | CT
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Zip | 06111-4014
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Country | US
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Telephone | 860-899-6461
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURENCE DANZIGER
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Credential | MD
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Telephone | 914-645-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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