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General NPI Number Information
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NPI Number | 1124211891
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Entity Type | Organization
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Legal Business Name | ALTERNATE NURSING CARE
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 130 BROADBRIDGE RD
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1121
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Country | US
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Telephone | 203-416-0019
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Fax | 203-416-0031
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Provider Business Mailing Address
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Address Line | 130 BROADBRIDGE RD
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1121
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Country | US
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Telephone | 203-416-0019
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Fax | 203-416-0031
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Authorized Official
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Title or Position | OWNER
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Name | MISS MARVA T QUACCOO
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Credential |
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Telephone | 203-416-0019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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