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General NPI Number Information
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NPI Number | 1841365988
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Entity Type | Organization
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Legal Business Name | GROTON BOARD OF EDUCATION
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1300 FLANDERS RD
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City | MYSTIC
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State | CT
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Zip | 06355-1042
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Country | US
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Telephone | 860-527-2100
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Fax | 860-572-2107
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Provider Business Mailing Address
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Address Line | 1300 FLANDERS RD
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City | MYSTIC
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State | CT
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Zip | 06355-1042
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Country | US
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Telephone | 860-527-2100
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Fax | 860-572-2107
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. HUGH J HUNTER
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Credential |
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Telephone | 860-572-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 004096500
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License Number State | CT
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