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General NPI Number Information
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NPI Number | 1205194172
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Entity Type | Organization
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Legal Business Name | ALTERNATIVES, INC.
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 48 LAKESIDE BLVD EAST
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City | WATERBURY
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State | CT
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Zip | 06708
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Country | US
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Telephone | 203-272-4009
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Fax | 203-272-4077
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Provider Business Mailing Address
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Address Line | PO BOX 766
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City | CHESHIRE
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State | CT
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Zip | 06410-0766
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Country | US
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Telephone | 203-272-4009
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Fax | 203-272-4077
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF ADMINISTRATIO
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Name | MS. KELLY P BRAGDON
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Credential |
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Telephone | 203-272-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State | CT
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