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General NPI Number Information
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NPI Number | 1891953048
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CONNECTIONS, INC.
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 14 MANNING AVENUE
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City | LEOMINSTER
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State | MA
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Zip | 01453-5768
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Country | US
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Telephone | 978-847-0110
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Fax | 978-847-0112
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Provider Business Mailing Address
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Address Line | 326 NICHOLS ROAD
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City | FITCHBURG
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State | MA
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Zip | 01420-1914
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Country | US
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Telephone | 978-878-8100
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Fax | 978-878-8418
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. JOHN A DEMALIA
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Credential |
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Telephone | 978-878-8510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | MA
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