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General NPI Number Information
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NPI Number | 1053964114
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Entity Type | Organization
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Legal Business Name | SAFE TO BE HOME
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 153 DIAMOND ST
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City | NEW HAVEN
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State | CT
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Zip | 06515-1331
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Country | US
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Telephone | 475-233-7612
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WOODGLEN DR APT 7A2
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City | WATERBURY
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State | CT
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Zip | 06705-3636
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Country | US
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Telephone | 203-706-9106
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/CFO
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Name | MRS. TINA E. BROWN
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Credential | MHA
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Telephone | 475-233-7612
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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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