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NPI 1174931539

NPI 1174931539 : HUMAN RESOURCES AGENCY OF NEW BRITAIN, INC. : NEW BRITAIN, CT

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General NPI Number Information
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    NPI Number           |    1174931539
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUMAN RESOURCES AGENCY OF NEW BRITAIN, INC. 
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Dates
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    Enumeration Date     |    07/30/2014
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    Last Update Date     |    07/30/2014
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Provider Practice Location Address
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    Address Line         |    83 WHITING STREET 
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    City                 |    NEW BRITAIN
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    State                |    CT
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    Zip                  |    06051
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    Country              |    US
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    Telephone            |    860-826-4741
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    Fax                  |    860-826-4744
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Provider Business Mailing Address
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    Address Line         |    180 CLINTON STREET 
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    City                 |    NEW BRITAIN
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    State                |    CT
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    Zip                  |    06053
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    Country              |    US
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    Telephone            |    860-225-8601
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    Fax                  |    860-827-3577
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ROCCO R TRICARICO 
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    Credential           |    J.D.
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    Telephone            |    860-225-8601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    251T00000X
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    Taxonomy Name        |    PACE Provider Organization
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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        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health 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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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