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General NPI Number Information
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NPI Number | 1821987405
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Entity Type | Organization
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Legal Business Name | CONNECTCARE COMMUNITY CENTER, INC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 105 NEWTOWN RD STE B
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City | DANBURY
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State | CT
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Zip | 06810-4114
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Country | US
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Telephone | 888-505-0752
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Fax | 860-628-5611
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Provider Business Mailing Address
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Address Line | 105 NEWTOWN RD STE B
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City | DANBURY
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State | CT
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Zip | 06810-4114
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Country | US
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Telephone | 888-505-0752
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Fax | 860-628-5611
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH JUSTICH
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Credential |
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Telephone | 888-505-0752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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