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General NPI Number Information
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NPI Number | 1962453670
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Entity Type | Individual
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Provider Name | PANTCHO G MASLINSKI MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 112 MANSFIELD AVE
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City | WILLIMANTIC
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State | CT
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Zip | 06226-2045
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Country | US
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Telephone | 860-456-6994
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Fax | 860-456-6762
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Provider Business Mailing Address
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Address Line | 349 BEAVER HILL RD
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City | NORTH WINDHAM
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State | CT
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Zip | 06256-1254
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Country | US
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Telephone | 765-994-5149
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Fax | 207-351-3478
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 72614
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License Number State | CT
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