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General NPI Number Information
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NPI Number | 1053154401
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Entity Type | Organization
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Legal Business Name | CORE CONNECTIONS, LLC
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 1209 JOHN FITCH BLVD UNIT 2E
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-2483
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Country | US
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Telephone | 860-858-4425
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Fax |
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Provider Business Mailing Address
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Address Line | 1158 HARTFORD TPKE UNIT 15
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City | VERNON
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State | CT
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Zip | 06066-4583
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Country | US
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Telephone | 860-305-5573
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DAYNA CHINSKY
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Credential | LCSW
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Telephone | 860-858-4425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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