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General NPI Number Information
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NPI Number | 1588954580
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Entity Type | Organization
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Legal Business Name | CENTRAL CONNECTICUT AREA HEALTH EDUCATION CENTER
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 20-28 SARGEANT ST
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City | HARTFORD
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State | CT
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Zip | 06105-1400
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Country | US
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Telephone | 860-920-5149
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Fax | 860-920-5136
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Provider Business Mailing Address
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Address Line | 20-28 SARGEANT ST
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City | HARTFORD
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State | CT
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Zip | 06105-1400
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Country | US
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Telephone | 860-920-5149
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Fax | 860-920-5136
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRENDA P DELGADO
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Credential |
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Telephone | 860-920-5149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable 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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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