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General NPI Number Information
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NPI Number | 1972683175
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Entity Type | Organization
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Legal Business Name | ASSOCIATED HEALTHCARE LLC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 59 RUBBER AVE
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City | NAUGATUCK
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State | CT
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Zip | 06770-4123
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Country | US
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Telephone | 203-723-7445
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Fax | 203-723-4794
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Provider Business Mailing Address
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Address Line | 59 RUBBER AVE
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City | NAUGATUCK
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State | CT
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Zip | 06770-4123
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Country | US
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Telephone | 203-723-7445
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Fax | 203-723-4794
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARL SCHIANO
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Credential | DC
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Telephone | 203-723-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 000516
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License Number State | CT
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