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General NPI Number Information
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NPI Number | 1376105767
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Entity Type | Organization
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Legal Business Name | MCANGEL HOME VISITING NURSES LLC
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 11/04/2023
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Provider Practice Location Address
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Address Line | 60 WASHINGTON AVE STE 105
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City | HAMDEN
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State | CT
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Zip | 06518-3272
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Country | US
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Telephone | 203-691-6092
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Fax | 203-486-8359
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Provider Business Mailing Address
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Address Line | 60 WASHINGTON AVE STE 105
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City | HAMDEN
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State | CT
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Zip | 06518-3272
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Country | US
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Telephone | 203-691-6092
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Fax | 203-486-8359
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MARK BERKO
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Credential |
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Telephone | 301-605-3467
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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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