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General NPI Number Information
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NPI Number | 1982813713
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Entity Type | Organization
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Legal Business Name | RUSHFORD CENTER INC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 1250 SILVER ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3946
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Country | US
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Telephone | 203-238-6875
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 SILVER ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3946
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Country | US
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Telephone | 203-238-6875
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT CFO
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Name | MRS. KATHLEEN BABER
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Credential |
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Telephone | 203-238-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | CT
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Taxonomy #2
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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 | CT
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