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General NPI Number Information
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NPI Number | 1780824854
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Entity Type | Organization
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Legal Business Name | SENIOR CARE CENTERS OF CONNECTICUT, INC.
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 144 MAIN ST SUITE J
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City | EAST HARTFORD
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State | CT
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Zip | 06118-3239
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Country | US
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Telephone | 860-568-9692
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Fax | 860-568-9698
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Provider Business Mailing Address
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Address Line | 7 NESHAMINY INTERPLEX SUITE 403
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City | TREVOSE
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State | PA
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Zip | 19053
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Country | US
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Telephone | 215-642-6600
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Fax | 215-642-6610
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Authorized Official
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Title or Position | CFO
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Name | CRAIG O MEHNERT
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Credential |
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Telephone | 215-642-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 04102009
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License Number State | CT
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