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General NPI Number Information
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NPI Number | 1932438553
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Entity Type | Organization
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Legal Business Name | MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 510 SAYBROOK ROAD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4711
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Country | US
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Telephone | 860-346-2267
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Fax | 860-343-0403
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Provider Business Mailing Address
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Address Line | 510 SAYBROOK ROAD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4711
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Country | US
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Telephone | 860-346-2267
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Fax | 860-343-0403
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JASON BENEDICT
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Credential |
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Telephone | 860-343-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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