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General NPI Number Information
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NPI Number | 1659649259
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Entity Type | Organization
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Legal Business Name | DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 320 POMFRET ST
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-963-6385
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Fax | 860-963-6393
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Provider Business Mailing Address
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Address Line | 320 POMFRET ST
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-928-6541
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JULIE DROUIN
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Credential |
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Telephone | 860-928-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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