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General NPI Number Information
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NPI Number | 1952599151
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Entity Type | Organization
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Legal Business Name | TOWN OF WINDSOR
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 03/31/2009
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Provider Practice Location Address
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Address Line | 275 BROAD ST
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City | WINDSOR
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State | CT
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Zip | 06095-2940
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Country | US
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Telephone | 860-285-1823
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Fax | 860-285-1864
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Provider Business Mailing Address
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Address Line | 275 BROAD ST
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City | WINDSOR
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State | CT
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Zip | 06095-2940
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Country | US
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Telephone | 860-285-1823
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Fax | 860-285-1864
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH
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Name | DR. CHARLES J PETRILLO JR.
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Credential | DRPH
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Telephone | 860-285-1823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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