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General NPI Number Information
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NPI Number | 1891727673
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PHYSICIANS OF SOUTHBURY, PC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 385 MAIN ST S SUITE 301
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City | SOUTHBURY
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State | CT
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Zip | 06488
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Country | US
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Telephone | 203-264-3319
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Fax | 203-267-6382
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Provider Business Mailing Address
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Address Line | 385 MAIN ST S SUITE 301
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City | SOUTHBURY
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State | CT
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Zip | 06488
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Country | US
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Telephone | 203-264-3319
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Fax | 203-267-6382
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Authorized Official
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Title or Position | PRESIDENT & PHYSICIAN
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Name | MICHAEL C TRAGER
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Credential |
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Telephone | 203-264-3319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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