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General NPI Number Information
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NPI Number | 1063639979
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Entity Type | Organization
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Legal Business Name | TOWN OF ENFIELD
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1A BEECH RD
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City | ENFIELD
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State | CT
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Zip | 06082-4462
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Country | US
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Telephone | 860-763-7538
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Fax | 860-763-7584
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Provider Business Mailing Address
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Address Line | 1A BEECH RD
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City | ENFIELD
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State | CT
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Zip | 06082-4462
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Country | US
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Telephone | 860-763-7538
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Fax | 860-763-7584
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Authorized Official
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Title or Position | TOWN MANAGER
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Name | MR. MATTHEW W. COPPLER
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Credential |
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Telephone | 860-253-6352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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