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General NPI Number Information
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NPI Number | 1124186523
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Entity Type | Organization
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Legal Business Name | CHELSEA PLACE CARE CENTER LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 25 LORRAINE ST
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City | HARTFORD
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State | CT
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Zip | 06105-2242
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Country | US
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Telephone | 860-233-8241
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Fax | 860-236-0309
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Provider Business Mailing Address
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Address Line | 25 LORRAINE ST
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City | HARTFORD
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State | CT
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Zip | 06105-2242
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Country | US
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Telephone | 860-233-8241
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Fax | 860-236-0309
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHRISTOPHER S WRIGHT
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Credential |
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Telephone | 860-570-2140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2220-C
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License Number State | CT
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