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General NPI Number Information
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NPI Number | 1093131146
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Entity Type | Organization
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Legal Business Name | HOME CARE CONNECTION, INC
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 513 S CANAL ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5660
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Country | US
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Telephone | 575-887-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 513 S CANAL ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5660
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Country | US
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Telephone | 575-887-6050
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ASHLEY ERIN BOCK
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Credential |
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Telephone | 575-887-6050
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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 | 6691
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License Number State | NM
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