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General NPI Number Information
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NPI Number | 1386613388
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Entity Type | Organization
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Legal Business Name | FILOSA CONVALESCENT HOME,INC.
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13 HAKIM ST
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City | DANBURY
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State | CT
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Zip | 06810-5316
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Country | US
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Telephone | 203-744-3366
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Fax | 203-790-6915
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Provider Business Mailing Address
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Address Line | 13 HAKIM ST
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City | DANBURY
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State | CT
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Zip | 06810-5316
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Country | US
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Telephone | 203-744-3366
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Fax | 203-790-6915
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL D MALONE
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Credential | J.D.
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Telephone | 203-744-3366
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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 | 461-C
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License Number State | CT
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