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General NPI Number Information
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NPI Number | 1508226796
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Entity Type | Organization
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Legal Business Name | CONNECTIONS COMMUNITY SUPPORT PROGRAMS INC.
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 3821 LANCASTER PIKE
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City | WILMINGTON
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State | DE
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Zip | 19805-1512
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Country | US
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Telephone | 302-442-6622
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Fax | 302-984-3324
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Provider Business Mailing Address
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Address Line | 3821 LANCASTER PIKE
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City | WILMINGTON
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State | DE
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Zip | 19805-1512
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Country | US
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Telephone | 302-442-6622
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Fax | 302-984-3324
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CHRIS DEVANEY
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Credential |
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Telephone | 302-230-9102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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