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General NPI Number Information
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NPI Number | 1053715276
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Entity Type | Organization
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Legal Business Name | CHINEL HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 39 CANTON ST
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City | WEST HAVEN
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State | CT
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Zip | 06516-1712
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Country | US
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Telephone | 475-202-7414
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Fax |
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Provider Business Mailing Address
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Address Line | 39 CANTON ST
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City | WEST HAVEN
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State | CT
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Zip | 06516-1712
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Country | US
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Telephone | 475-202-7414
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NANA BOAHEMAA
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Credential |
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Telephone | 475-202-7414
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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.0000890
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License Number State | CT
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