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General NPI Number Information
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NPI Number | 1215392444
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Entity Type | Organization
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Legal Business Name | UFIRST HOME CARE
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 311 EASTERN ST E1101
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City | NEW HAVEN
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State | CT
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Zip | 06513-2521
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Country | US
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Telephone | 203-214-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 311 EASTERN ST E1101
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City | NEW HAVEN
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State | CT
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Zip | 06513-2521
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Country | US
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Telephone | 203-214-0969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CONNIE WHITE
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Credential |
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Telephone | 203-214-0969
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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 | 0000998
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License Number State | CT
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