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General NPI Number Information
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NPI Number | 1043347602
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE ALLIANCE
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 245 MAIN ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-3123
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Country | US
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Telephone | 401-235-7000
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Fax | 401-767-4075
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Provider Business Mailing Address
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Address Line | PO BOX 1700
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City | WOONSOCKET
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State | RI
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Zip | 02895-0856
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Country | US
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Telephone | 401-235-7000
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Fax | 401-767-4075
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BENEDICT F. LESSING JR.
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Credential | MSW
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Telephone | 401-235-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 609.1
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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