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General NPI Number Information
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NPI Number | 1306198197
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Entity Type | Organization
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Legal Business Name | TOTALITY HOME HEALTH CARE AGENCY, LLC
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 546 BOSTON POST ROAD
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City | MILFORD
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State | CT
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Zip | 06460
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Country | US
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Telephone | 203-893-3560
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Fax | 203-693-3999
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Provider Business Mailing Address
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Address Line | 546 BOSTON POST RD
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City | MILFORD
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State | CT
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Zip | 06460-2636
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Country | US
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Telephone | 203-893-3560
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Fax | 203-693-3999
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUTH DERISSE - YOUYOU
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Credential | RN, AS
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Telephone | 203-893-3560
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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 |
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License Number State |
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