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General NPI Number Information
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NPI Number | 1174102230
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HOME CARE OF CT
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 39 LEDGE RD
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City | SOUTHINGTON
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State | CT
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Zip | 06489-1342
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Country | US
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Telephone | 860-796-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 210 MAIN ST UNIT 1521
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City | FARMINGTON
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State | CT
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Zip | 06034-7061
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Country | US
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Telephone | 718-813-3293
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH NGUYEN
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Credential | PA-C
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Telephone | 718-813-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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