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General NPI Number Information
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NPI Number | 1033296280
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Entity Type | Organization
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Legal Business Name | NEW LONDON PUBLIC SCHOOLS
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 490 JEFFERSON AVE NEW LONDON HIGH SCHOOL
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City | NEW LONDON
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State | CT
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Zip | 06320-2525
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Country | US
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Telephone | 860-437-6400
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Fax | 860-437-6440
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Provider Business Mailing Address
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Address Line | 134 WILLIAMS ST
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City | NEW LONDON
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State | CT
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Zip | 06320-5231
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Country | US
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Telephone | 860-447-6010
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Fax | 860-447-6026
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL SERVICES
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Name | MRS. CHRISTINE L CARVER
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Credential |
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Telephone | 860-447-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CT
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