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General NPI Number Information
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NPI Number | 1366711152
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Entity Type | Organization
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Legal Business Name | CT PROCARE ASSOCIATES
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1618 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4207
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Country | US
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Telephone | 203-430-8549
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 CHAPEL ST PO BOX 3109
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City | NEW HAVEN
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State | CT
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Zip | 06511-4207
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Country | US
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Telephone | 203-430-8549
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS MARJORIE FAY CATNOTT
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Credential | GBP
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Telephone | 203-430-8549
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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 | CT
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