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General NPI Number Information
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NPI Number | 1730510876
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Entity Type | Organization
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Legal Business Name | ST VINCENT'S SPECIAL NEEDS CENTER INC
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 95 MERRITT BLVD
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City | TRUMBULL
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State | CT
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Zip | 06611-5435
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Country | US
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Telephone | 203-375-6400
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Fax | 203-380-1190
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Provider Business Mailing Address
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Address Line | 95 MERRITT BLVD
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City | TRUMBULL
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State | CT
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Zip | 06611-5435
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Country | US
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Telephone | 203-375-6400
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Fax | 203-380-1190
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. RAYMOND G BALDWIN JR.
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Credential |
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Telephone | 203-386-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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