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General NPI Number Information
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NPI Number | 1811191042
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Entity Type | Organization
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Legal Business Name | CTE, INC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 104 RICHMOND HILL AVE
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City | STAMFORD
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State | CT
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Zip | 06902-5739
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Country | US
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Telephone | 203-356-1053
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Fax | 203-356-1054
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Provider Business Mailing Address
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Address Line | 104 RICHMOND HILL AVE
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City | STAMFORD
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State | CT
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Zip | 06902-5739
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. PHILLIP MCKAIN
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Credential |
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Telephone | 203-352-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | SA-0029
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License Number State | CT
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