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General NPI Number Information
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NPI Number | 1265590871
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Entity Type | Organization
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Legal Business Name | THE CONNECTICUT INSTITUTE FOR THE BLIND INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 33 COVENTRY ST
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City | HARTFORD
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State | CT
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Zip | 06112-1511
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Country | US
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Telephone | 860-242-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 120 HOLCOMB STREET
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City | HARTFORD
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State | CT
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Zip | 06112
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Country | US
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Telephone | 860-242-2274
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Fax |
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Authorized Official
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Title or Position | TREASURER & CFO
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Name | MRS. CHRISTINE D LEIBY
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Credential |
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Telephone | 860-769-3839
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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 | 014
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License Number State | CT
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