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General NPI Number Information
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NPI Number | 1679852503
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Entity Type | Organization
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Legal Business Name | CALEPT, LLC
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 268 GREENWOOD AVE SUITE 202
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City | BETHEL
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State | CT
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Zip | 06801-2419
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Country | US
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Telephone | 203-313-4021
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Fax | 203-438-5514
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Provider Business Mailing Address
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Address Line | 268 GREENWOOD AVE SUITE 202
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City | BETHEL
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State | CT
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Zip | 06801-2419
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Country | US
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Telephone | 203-313-4021
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Fax | 203-438-5514
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MRS. CATHERINE-ANN G MANZELLA
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Credential | MSPT
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Telephone | 203-313-4021
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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 | 6081
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License Number State | CT
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