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General NPI Number Information
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NPI Number | 1083613798
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Entity Type | Organization
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Legal Business Name | FRANCISCAN FAMILY CARE CENTER, INC.
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 267 FINCH AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2715
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Country | US
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Telephone | 203-238-1441
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Fax | 203-686-0807
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Provider Business Mailing Address
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Address Line | 267 FINCH AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2715
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Country | US
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Telephone | 203-238-1441
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Fax | 203-686-0807
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SISTER SUZANNE GROSS
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Credential | F.S.E.
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Telephone | 203-238-1441
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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 | C87714
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License Number State | CT
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