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General NPI Number Information
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NPI Number | 1225121627
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Entity Type | Organization
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Legal Business Name | HARBOR HILL CARE CENTER, INC.
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 111 CHURCH ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3624
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Country | US
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Telephone | 860-347-7286
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Fax | 860-346-5589
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Provider Business Mailing Address
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Address Line | 111 CHURCH ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3624
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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 | ADMINISTRATOR
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Name | MR. LEWIS ABRAMSON
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Credential |
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Telephone | 860-347-7286
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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 | 2097-C
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License Number State | CT
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