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General NPI Number Information
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NPI Number | 1306168398
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Entity Type | Organization
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Legal Business Name | CORPORATE HEALTH DEMENSIONS, INC
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 151 FARMINGTON AVE. REAW
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City | HARTFORD
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State | CT
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Zip | 06156
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Country | US
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Telephone | 860-273-3265
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Fax | 860-273-3272
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Provider Business Mailing Address
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Address Line | 205 MILLERSPRINGS CT ATTN: CBO
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City | FRANKLIN
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State | TN
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Zip | 37064-5434
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Country | US
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Telephone | 888-830-4255
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Fax | 615-296-0151
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Authorized Official
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Title or Position | BILLING OFFICE MANAGER
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Name | STEPHANIE LARSON
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Credential |
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Telephone | 615-468-6538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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