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General NPI Number Information
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NPI Number | 1952437923
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Entity Type | Organization
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Legal Business Name | STATE OF CT. - OFFICE OF THE COMPTROLLER
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 460 CAPITOL AVE
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City | HARTFORD
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State | CT
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Zip | 06106-1308
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Country | US
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Telephone | 860-418-6147
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Fax | 860-418-6003
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Provider Business Mailing Address
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Address Line | 460 CAPITOL AVE
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City | HARTFORD
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State | CT
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Zip | 06106-1308
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Country | US
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Telephone | 860-418-6147
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Fax | 860-418-6003
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE AND FISCAL SER
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Name | MR. VINCENT L O'CONNELL
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Credential |
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Telephone | 860-418-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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