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General NPI Number Information
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NPI Number | 1851568299
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Entity Type | Organization
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Legal Business Name | CPL (LINWOOD) LLC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 201 NEW RD
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City | LINWOOD
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State | NJ
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Zip | 08221-1201
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Country | US
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Telephone | 609-927-6131
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Fax | 609-927-5899
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Provider Business Mailing Address
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Address Line | 538 PRESTON AVE SUITE 270
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City | MERIDEN
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State | CT
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Zip | 06450-4851
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Country | US
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Telephone | 203-608-6100
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Fax | 203-639-3574
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Authorized Official
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Title or Position | LLC MANAGER
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Name | CAROLE M SCILLIA
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Credential |
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Telephone | 203-608-6134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 060104
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License Number State | NJ
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