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General NPI Number Information
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NPI Number | 1164006219
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Entity Type | Organization
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Legal Business Name | THE AURORA HOUSE, LLC
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/29/2021
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Provider Practice Location Address
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Address Line | 168 S MAIN ST UNIT C
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City | CHESHIRE
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State | CT
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Zip | 06410-3191
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Country | US
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Telephone | 203-439-2289
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Fax | 203-439-9189
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Provider Business Mailing Address
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Address Line | 168 S MAIN ST UNIT C
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City | CHESHIRE
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State | CT
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Zip | 06410-3191
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Country | US
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Telephone | 203-439-2289
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Fax | 203-439-9189
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUSAN KAUFMAN
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Credential | MS
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Telephone | 203-824-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 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 #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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