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General NPI Number Information
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NPI Number | 1093283988
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Entity Type | Organization
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Legal Business Name | VIERA COMPANION & HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 323 W MAIN ST FL 1
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1331
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Country | US
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Telephone | 860-505-8804
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Fax | 860-505-8940
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Provider Business Mailing Address
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Address Line | 323 W MAIN ST FL 1
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1331
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Country | US
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Telephone | 860-505-8804
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Fax | 860-505-8940
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | IVAN VIERA
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Credential |
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Telephone | 860-890-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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