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General NPI Number Information
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NPI Number | 1952891368
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Entity Type | Organization
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Legal Business Name | CONNECTIONS
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 1120 BRANDYWINE ST
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City | WILMINGTON
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State | DE
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Zip | 19802-5219
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Country | US
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Telephone | 302-384-8167
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Fax | 302-502-3102
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Provider Business Mailing Address
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Address Line | 405 STANLEY PLAZA BLVD
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City | NEWARK
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State | DE
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Zip | 19713-2983
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Country | US
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Telephone | 302-438-6641
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Fax |
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Authorized Official
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Title or Position | COUNSELOR, CADC
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Name | JESSICA LYNN STEWART
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Credential |
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Telephone | 302-438-6641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | DE
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