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NPI 1689749079

NPI 1689749079 : HEBREW HOME AND HOSPITAL, INC : WEST HARTFORD, CT

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General NPI Number Information
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    NPI Number           |    1689749079
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEBREW HOME AND HOSPITAL, INC 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1 ABRAHMS BLVD PHARMACY
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    City                 |    WEST HARTFORD
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    State                |    CT
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    Zip                  |    06117-1525
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    Country              |    US
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    Telephone            |    860-523-3974
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    Fax                  |    860-523-3926
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Provider Business Mailing Address
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    Address Line         |    1 ABRAHMS BLVD PHARMACY
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    City                 |    WEST HARTFORD
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    State                |    CT
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    Zip                  |    06117-1525
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    Country              |    US
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    Telephone            |    860-523-3974
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    Fax                  |    860-523-3926
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Authorized Official
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    Title or Position    |    SR VICE PRESIDENT, CFO
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    Name                 |     DAVID  HOULE IV
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    Credential           |    
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    Telephone            |    860-523-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    281P00000X
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    Taxonomy Name        |    Chronic Disease Hospital
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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        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    CT
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