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General NPI Number Information
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NPI Number | 1598703514
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Entity Type | Organization
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Legal Business Name | HBR DANBURY LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 33 LINCOLN AVE
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City | DANBURY
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State | CT
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Zip | 06810-7963
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Country | US
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Telephone | 203-797-9300
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Fax | 203-780-4645
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Provider Business Mailing Address
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Address Line | 101 SUN AVE NE COMPLIANCE DIRECTOR
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4373
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Country | US
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Telephone | 505-468-5604
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Fax | 505-468-4681
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Authorized Official
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Title or Position | AUTH OFFICIAL
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Name | MR. MICHAEL T BERG
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Credential |
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Telephone | 505-468-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1067-C
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License Number State | CT
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