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General NPI Number Information
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NPI Number | 1225468911
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Entity Type | Organization
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Legal Business Name | GOSHEN HOMECARE AND COMPANIONS LLC
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 99 PIRES DR
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City | OAKDALE
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State | CT
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Zip | 06370-1314
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Country | US
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Telephone | 860-531-2420
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Fax | 860-924-2639
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Provider Business Mailing Address
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Address Line | PO BOX 174
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City | NORWICH
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State | CT
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Zip | 06360-0174
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Country | US
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Telephone | 860-501-9526
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Fax | 860-924-2639
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Authorized Official
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Title or Position | DIRECTOR OF CARE AND MARKETING
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Name | MR. CALEB ROSEME
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Credential |
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Telephone | 860-531-2420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCA. 0000809
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License Number State | CT
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