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General NPI Number Information
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NPI Number | 1205125408
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Entity Type | Organization
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Legal Business Name | NUTMEG HEALTHCARE INC
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 18 HART ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1702
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Country | US
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Telephone | 860-951-5351
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Fax | 860-828-6309
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Provider Business Mailing Address
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Address Line | 18 HART ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1702
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Country | US
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Telephone | 860-951-5351
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Fax | 860-828-6309
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARLENE A KUPINSKI
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Credential | APRN
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Telephone | 860-951-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | E35142
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License Number State | CT
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