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General NPI Number Information
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NPI Number | 1467512376
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Entity Type | Organization
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Legal Business Name | WHITNEY CENTER INC.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 200 LEEDER HILL DR
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City | HAMDEN
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State | CT
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Zip | 06517-2758
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Country | US
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Telephone | 203-281-6745
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Fax | 203-848-1609
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Provider Business Mailing Address
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Address Line | 200 LEEDER HILL DR
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City | HAMDEN
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State | CT
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Zip | 06517-2758
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Country | US
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Telephone | 203-281-6745
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Fax | 203-848-1609
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY B GRAVEL
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Credential |
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Telephone | 206-281-6745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 985-C
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License Number State | CT
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