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General NPI Number Information
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NPI Number | 1861935595
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Entity Type | Organization
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Legal Business Name | HAMDEN SENIOR CARE
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 153 LEEDER HILL DR
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City | HAMDEN
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State | CT
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Zip | 06517-2731
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Country | US
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Telephone | 203-281-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 153 LEEDER HILL DR
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City | HAMDEN
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State | CT
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Zip | 06517-2731
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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 | CFO
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Name | JOEL FRIEDMAN
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Credential |
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Telephone | 732-564-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 0178
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License Number State | CT
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