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General NPI Number Information
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NPI Number | 1093822843
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Entity Type | Organization
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Legal Business Name | MATULAITIS NURSING HOME, INC.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 10 THURBER RD
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City | PUTNAM
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State | CT
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Zip | 06260-2518
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Country | US
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Telephone | 860-928-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 10 THURBER RD
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City | PUTNAM
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State | CT
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Zip | 06260-2518
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Country | US
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Telephone | 860-928-7976
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JANE LOGAN
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Credential |
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Telephone | 860-928-7976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 5784720001
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 5784720001
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0989
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License Number State | CT
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