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General NPI Number Information
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NPI Number | 1396754255
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Entity Type | Organization
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Legal Business Name | THE CONNECTICUT HOSPICE, INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 100 DOUBLE BEACH RD
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City | BRANFORD
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State | CT
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Zip | 06405-4909
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Country | US
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Telephone | 203-315-7500
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Fax | 203-315-7614
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Provider Business Mailing Address
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Address Line | 100 DOUBLE BEACH RD
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City | BRANFORD
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State | CT
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Zip | 06405-4909
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Country | US
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Telephone | 203-315-7500
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Fax | 203-315-7614
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MARY ROSE GILHULY
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Credential |
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Telephone | 203-315-7633
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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 | C846210H
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License Number State | CT
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