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General NPI Number Information
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NPI Number | 1730284605
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 500 ALBANY AVE
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City | HARTFORD
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State | CT
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Zip | 06120-2508
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Country | US
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Telephone | 860-249-9625
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Fax | 860-808-1580
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Provider Business Mailing Address
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Address Line | 500 ALBANY AVE
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City | HARTFORD
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State | CT
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Zip | 06120-2508
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Country | US
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Telephone | 860-249-9625
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Fax | 860-808-1580
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Authorized Official
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Title or Position | CEO
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Name | GREGORY STANTON
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Credential |
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Telephone | 860-249-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0293
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0293
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 299
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 0293
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 0293
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License Number State | CT
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