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General NPI Number Information
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NPI Number | 1326246687
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Entity Type | Organization
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Legal Business Name | CENTRAL NAUGATUCK VALLEY HELP, INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 900 WATERTOWN AVE
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City | WATERBURY
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State | CT
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Zip | 06708-2011
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Country | US
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Telephone | 203-756-8984
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Fax | 203-756-8985
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Provider Business Mailing Address
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Address Line | 900 WATERTOWN AVE
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City | WATERBURY
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State | CT
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Zip | 06708-2011
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Country | US
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Telephone | 203-756-8984
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Fax | 203-756-8985
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROBERTA MURTAGH
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Credential |
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Telephone | 203-756-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0536
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0536
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License Number State | CT
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