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General NPI Number Information
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NPI Number | 1902096324
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Entity Type | Organization
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Legal Business Name | HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 67 SAND PIT RD SUITE 105
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City | DANBURY
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State | CT
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Zip | 06810-4032
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Country | US
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Telephone | 203-797-1770
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Fax | 203-796-7839
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Provider Business Mailing Address
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Address Line | 67 SAND PIT RD
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City | DANBURY
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State | CT
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Zip | 06810-4032
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Country | US
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Telephone | 203-797-1770
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Fax | 203-796-7839
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONRAD P EHRLICH
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Credential | M.D.
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Telephone | 203-797-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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