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General NPI Number Information
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NPI Number | 1437454428
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Entity Type | Organization
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Legal Business Name | NEW HOPE MANOR
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 60 HILLIARD ST
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City | MANCHESTER
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State | CT
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Zip | 06042-3002
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Country | US
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Telephone | 860-645-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 60 HILLIARD ST
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City | MANCHESTER
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State | CT
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Zip | 06042-3002
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Country | US
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Telephone | 860-645-4900
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Fax |
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Authorized Official
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Title or Position | CHIEF OF CLINICAL OPERATIONS
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Name | MS. KAREN COLT
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Credential | LADC
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Telephone | 860-645-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CT
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