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General NPI Number Information
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NPI Number | 1619986619
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Entity Type | Organization
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Legal Business Name | EASTERN CONNECTICUT REHABILI
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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 | 165 HARTFORD PIKE
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City | DAYVILLE
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State | CT
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Zip | 06241-1556
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Country | US
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Telephone | 860-779-0150
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Fax | 860-774-2371
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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 | MISS KRISTI L 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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