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General NPI Number Information
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NPI Number | 1629629779
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Entity Type | Organization
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Legal Business Name | ABILITY BEYOND DISABILITY
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 3 SEMINOLE DR
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City | DANBURY
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State | CT
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Zip | 06811-4442
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Country | US
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Telephone | 203-775-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BERKSHIRE BLVD
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City | BETHEL
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State | CT
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Zip | 06801-1001
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Country | US
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Telephone | 203-826-3034
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | AMY BROWN
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Credential |
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Telephone | 203-826-3021
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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 |
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License Number State |
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