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General NPI Number Information
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NPI Number | 1194051789
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR THE HISPANIC FAMILIES
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 45 WADSWORTH ST
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City | HARTFORD
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State | CT
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Zip | 06106-7108
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Country | US
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Telephone | 860-527-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 97 COLUMBUS AVE APT A
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City | NEW HAVEN
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State | CT
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Zip | 06519-2246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ROLANDO MARTINEZ
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Credential |
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Telephone | 860-527-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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