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General NPI Number Information
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NPI Number | 1972727394
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 120 EAST AVE. 2ND FLOOR
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City | NORWALK
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State | CT
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Zip | 06851-4841
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Country | US
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Telephone | 203-750-9711
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Fax | 203-750-9651
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Provider Business Mailing Address
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Address Line | 120 EAST AVE. 2ND FLOOR
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City | NORWALK
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State | CT
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Zip | 06851-4841
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Country | US
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Telephone | 203-750-9711
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Fax | 203-750-9651
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AL BARBER
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Credential |
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Telephone | 203-416-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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