NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1326292368
PAN
JIN
UCONN HEALTH CENTER DEPT ORAL&MAXILLOFACIAL
FARMINGTON
CT
060300001
1164599569
SONG
LIANSHENG
263 FARMINGTON AVE
FARMINGTON
CT
060301720
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