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General NPI Number Information
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NPI Number | 1003437435
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Entity Type | Organization
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Legal Business Name | DECENT HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 527 BURNSIDE AVENUE SUITE 1
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 860-289-0946
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Fax | 860-948-9896
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Provider Business Mailing Address
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Address Line | 527 BURNSIDE AVENUE SUITE 1
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 860-289-0946
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Fax | 860-948-9896
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STEPHEN AGBO
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Credential |
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Telephone | 860-574-1146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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