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General NPI Number Information
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NPI Number | 1487955548
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Entity Type | Organization
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Legal Business Name | THE CONNECTION, INC.
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 39 BRISTOL ST
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City | NEW LONDON
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State | CT
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Zip | 06320-5932
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Country | US
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Telephone | 860-443-0080
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Fax | 860-443-0083
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Provider Business Mailing Address
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Address Line | 39 BRISTOL ST
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City | NEW LONDON
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State | CT
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Zip | 06320-5932
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Country | US
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Telephone | 860-443-0080
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Fax | 860-443-0083
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Authorized Official
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Title or Position | CASE MANAGER II
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Name | TODD ANDREW MERCIER
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Credential |
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Telephone | 860-443-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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