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General NPI Number Information
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NPI Number | 1184873424
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Entity Type | Organization
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Legal Business Name | MERCY HOME CARE OF CONNECTICUT, INC.
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 2 LIBRARY PL UNIT B
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City | BETHEL
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State | CT
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Zip | 06801-2106
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Country | US
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Telephone | 203-796-0143
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Fax | 203-796-0163
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Provider Business Mailing Address
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Address Line | 28 KNIGHT ST
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City | NORWALK
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State | CT
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Zip | 06851-4719
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Country | US
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Telephone | 203-852-0773
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Fax | 203-299-0415
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. HAROLD J FREDHEIM
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Credential |
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Telephone | 203-852-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | CT
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