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General NPI Number Information
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NPI Number | 1316942428
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Entity Type | Organization
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Legal Business Name | CENTER FOR CONTINUING CARE OF GREATER STAMFORD, INC
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 146 W BROAD ST
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City | STAMFORD
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State | CT
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Zip | 06902-3633
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Country | US
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Telephone | 203-276-8500
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Fax | 203-356-9925
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Provider Business Mailing Address
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Address Line | 146 W BROAD ST
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City | STAMFORD
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State | CT
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Zip | 06902-3633
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Country | US
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Telephone | 203-276-8500
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Fax | 203-356-9925
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SANDRA J BARDSLEY
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Credential | RN
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Telephone | 203-276-8500
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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 | 2031-C
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License Number State | CT
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