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General NPI Number Information
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NPI Number | 1992931687
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Entity Type | Organization
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Legal Business Name | HAMDEN SLEEP DISORDERS CENTER LLC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 14 BUSINESS PARK DR SUITE A
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City | BRANFORD
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State | CT
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Zip | 06405-2909
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Country | US
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Telephone | 203-643-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TULIP TREE LN
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City | WOODBRIDGE
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State | CT
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Zip | 06525-1414
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Country | US
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Telephone | 203-676-0323
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. NEELAM GUPTA
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Credential |
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Telephone | 203-643-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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