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General NPI Number Information
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NPI Number | 1346044518
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Entity Type | Organization
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Legal Business Name | ANBUDAN CORP
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 229 BROAD ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-4211
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Country | US
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Telephone | 423-364-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 229 BROAD ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-4211
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Country | US
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Telephone | 423-364-1089
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SENTHILKUMAR PURUSHOTHAMAN
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Credential |
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Telephone | 423-364-1089
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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 |
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License Number State |
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