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General NPI Number Information
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NPI Number | 1093603730
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Entity Type | Organization
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Legal Business Name | ALVITA CONNETICUT, LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 500 W PUTNAM AVE STE 400
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City | GREENWICH
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State | CT
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Zip | 06830-6096
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Country | US
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Telephone | 914-278-6422
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Fax |
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Provider Business Mailing Address
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Address Line | 231 W 29TH ST RM 400
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City | NEW YORK
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State | NY
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Zip | 10001-5839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | KORY NADEAU
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Credential |
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Telephone | 914-278-6422
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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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