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General NPI Number Information
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NPI Number | 1033513056
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Entity Type | Organization
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Legal Business Name | HOME CARE VNA, LLC
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 33O MAIN STREET 3RD FL00R SUITE C-3
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City | HARTFORD
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State | CT
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Zip | 06106-1851
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Country | US
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Telephone | 978-726-8563
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Fax | 186-688-6118
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Provider Business Mailing Address
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Address Line | 33O MAIN STREET 3RD FL00R SUITE C-3
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City | HARTFORD
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State | CT
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Zip | 06106-1851
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Country | US
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Telephone | 978-726-8563
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Fax | 186-688-6118
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Authorized Official
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Title or Position | OWNER
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Name | MR. CONSTANT ODUOR OGUTT
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Credential | RN
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Telephone | 978-726-8563
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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 |
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License Number State |
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