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General NPI Number Information
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NPI Number | 1487789715
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Entity Type | Organization
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Legal Business Name | CITY OF WATERBURY BOARD OF EDUCATION
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 37 LEAVENWORTH ST 3RD FLOOR
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City | WATERBURY
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State | CT
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Zip | 06702-2130
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Country | US
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Telephone | 203-573-6692
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Fax | 203-573-6694
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Provider Business Mailing Address
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Address Line | 37 LEAVENWORTH ST 3RD FLOOR
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City | WATERBURY
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State | CT
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Zip | 06702-2130
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Country | US
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Telephone | 203-573-6692
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Fax | 203-573-6694
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Authorized Official
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Title or Position | SPECIAL SERVICES SUPERVISORS
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Name | MRS. ROBERTA ABELL
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Credential |
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Telephone | 203-346-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | CT
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