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General NPI Number Information
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NPI Number | 1437462967
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Entity Type | Organization
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Legal Business Name | AURORA SENIOR LIVING OF CROMWELL, LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 385 MAIN ST
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City | CROMWELL
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State | CT
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Zip | 06416-2308
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Country | US
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Telephone | 410-729-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 8227 CLOVERLEAF DR SUITE 309
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1565
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Country | US
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Telephone | 410-729-8406
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MRS. BARBARA LYNNE KITCHEN
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Credential |
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Telephone | 410-729-8406
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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 | 2341
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License Number State | CT
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