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General NPI Number Information
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NPI Number | 1154129013
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Entity Type | Organization
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Legal Business Name | EDEN IN HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 15 COLUMBINE DR
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City | TRUMBULL
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State | CT
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Zip | 06611-4601
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Country | US
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Telephone | 475-298-0967
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Fax | 203-549-0944
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Provider Business Mailing Address
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Address Line | 15 COLUMBINE DR
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City | TRUMBULL
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State | CT
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Zip | 06611-4601
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Country | US
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Telephone | 475-298-0967
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Fax | 203-549-0944
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Authorized Official
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Title or Position | ADMINISTRATOR/NURSE
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Name | PAULETTE SEMENTILLI
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Credential | RN
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Telephone | 475-298-0967
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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 |
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License Number State |
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