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General NPI Number Information
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NPI Number | 1861608135
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Entity Type | Organization
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Legal Business Name | COMMUNITY RENEWAL TEAM, INC.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 WINDSOR ST
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City | HARTFORD
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State | CT
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Zip | 06120-2418
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Country | US
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Telephone | 860-560-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 555 WINDSOR ST
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City | HARTFORD
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State | CT
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Zip | 06120-2418
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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 | CHEIF PROGRAM OFFICER
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Name | FREDERICK MAURICE LYNN
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Credential |
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Telephone | 860-560-5635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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