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General NPI Number Information
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NPI Number | 1689920183
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER INC
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 241-249 ARCH ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2518
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Country | US
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Telephone | 860-224-3642
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Fax |
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Provider Business Mailing Address
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Address Line | 575 MAIN ST FL 2 ATTN: CREDENTIALING DEPT
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2845
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Country | US
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Telephone | 860-347-6971
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Fax |
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Authorized Official
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Title or Position | SVP/CLINICAL DIRECTOR
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Name | MARGARET FLINTER
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Credential | APRN, PHD
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Telephone | 860-347-6971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 0441
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License Number State | CT
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