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General NPI Number Information
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NPI Number | 1598774507
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Entity Type | Organization
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Legal Business Name | EASTERN CONNECTICUT REHABILITATION CENTERS
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 121 BROADWAY
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City | COLCHESTER
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State | CT
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Zip | 06415
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Country | US
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Telephone | 860-537-6798
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Fax | 860-537-5926
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Provider Business Mailing Address
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Address Line | 2B LEE RD
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City | JEWETT CITY
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State | CT
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Zip | 06351-3042
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Country | US
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Telephone | 860-376-2564
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Fax | 860-376-4812
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | KRISTI LYNN HACHEY
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Credential |
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Telephone | 860-376-2564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | CT
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