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General NPI Number Information
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NPI Number | 1568580645
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Entity Type | Organization
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Legal Business Name | ABILIS INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 15 CROSS RIDGE GARC
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City | OLD GREENWICH
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State | CT
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Zip | 06870
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Country | US
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Telephone | 203-698-0683
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Fax | 203-637-2704
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Provider Business Mailing Address
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Address Line | 50 GLENVILLE STREET
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City | GREENWICH
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State | CT
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Zip | 06831
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Country | US
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Telephone | 203-531-1880
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Fax | 203-531-9367
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LAUREL P ROSS
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Credential |
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Telephone | 203-531-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | R669
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License Number State | CT
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