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General NPI Number Information
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NPI Number | 1780336230
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Entity Type | Organization
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Legal Business Name | COMMUNICARE, INC.
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 27 WASHINGTON ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2872
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Country | US
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Telephone | 203-553-7234
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Fax | 203-553-7239
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Provider Business Mailing Address
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Address Line | 85 WILLOW STREET BUILDING A, SUITE 3
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City | NEW HAVEN
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State | CT
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Zip | 06511
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Country | US
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Telephone | 203-553-7234
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Fax | 203-553-7239
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOHN O'ROURKE
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Credential | LCSW
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Telephone | 203-553-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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