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General NPI Number Information
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NPI Number | 1891840021
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Entity Type | Organization
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Legal Business Name | KLINGBERG COMPREHENSIVE FAMILY SERVICES INC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 HOLCOMB STREET
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City | HARTFORD
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State | CT
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Zip | 06112
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Country | US
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Telephone | 860-243-4416
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Fax | 860-286-3049
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Provider Business Mailing Address
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Address Line | 120 HOLCOMB STREET
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City | HARTFORD
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State | CT
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Zip | 06112
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Country | US
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Telephone | 860-243-4416
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Fax | 860-286-3049
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROSEMARIE A BURTON
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Credential |
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Telephone | 860-832-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | OPCC45
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License Number State | CT
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