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General NPI Number Information
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NPI Number | 1992418248
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Entity Type | Organization
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Legal Business Name | PELVIC CONNECTIONS PT, PLLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 150 HAZARD AVE STE C6
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City | ENFIELD
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State | CT
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Zip | 06082-4587
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Country | US
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Telephone | 631-942-6728
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Fax |
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Provider Business Mailing Address
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Address Line | 410 FARMINGTON AVE APT H1
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City | NEW BRITAIN
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State | CT
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Zip | 06053-1983
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Country | US
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Telephone | 631-942-6728
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACQUELYN JOSEPHINE JARONCZYK
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Credential | PT, DPT, PRPC
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Telephone | 631-942-6728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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