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General NPI Number Information
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NPI Number | 1003102575
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Entity Type | Organization
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Legal Business Name | 24/7 COMPANION & HOMEMAKING
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 243 MAIN ST UNIT 4
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City | MANCHESTER
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State | CT
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Zip | 06042-3539
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Country | US
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Telephone | 860-646-4193
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Fax |
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Provider Business Mailing Address
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Address Line | 243 MAIN ST UNIT 4
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City | MANCHESTER
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State | CT
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Zip | 06042-3539
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Country | US
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Telephone | 860-646-4193
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NAANA CLELAND
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Credential | MHCA
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Telephone | 860-402-8377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCA.0000530
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License Number State | CT
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