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P AND CORPORATION RELATED TO THE HOSPITAL (1) (2) LINE DESCRIPTION (3) AFFILIATE INFORMATION A. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 AFFILIATE NAME THE CHARLOTTE HUNGERFORD HOSPITAL Affiliate Description Affiliate type of service Tax Status Street Address Town State Zip Code CEO Name CEO Title CT Agent Name CT Agent Company CT Agent Company Street Address CT Agent Town CT Agent State CT Agent Zip Code Non Profit Acute Care Hospital Hospital Not for Profit 540 Litchfield Street Torrington.

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