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General NPI Number Information
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NPI Number | 1972701191
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Entity Type | Organization
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Legal Business Name | MAPLEWOOD AT DANBURY, LLC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 22 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-5944
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Country | US
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Telephone | 203-744-8444
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Fax | 203-791-8108
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Provider Business Mailing Address
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Address Line | 22 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-5944
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Country | US
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Telephone | 203-744-8444
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Fax | 203-791-8108
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELIZABETH SKERRY-HASTINGS
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Credential |
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Telephone | 203-744-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 0114
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License Number State | CT
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