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General NPI Number Information
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NPI Number | 1023254430
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Entity Type | Organization
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Legal Business Name | GENTLE CARE LLC
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 81 EXCHANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06513-3924
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Country | US
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Telephone | 203-931-1765
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Fax | 203-404-0686
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Provider Business Mailing Address
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Address Line | 81 EXCHANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06513
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Country | US
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Telephone | 203-931-1765
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Fax | 203-404-0686
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Authorized Official
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Title or Position | OWNER
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Name | MS. NADINE CHRISTINE TRACEY
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Credential |
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Telephone | 203-589-6347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HAC0000280
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License Number State | CT
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