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General NPI Number Information
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NPI Number | 1427446780
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Entity Type | Organization
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Legal Business Name | WE CARE WALLINGFORD, LLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 80 S MAIN ST SUITE 3
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City | WALLINGFORD
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State | CT
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Zip | 06492-4222
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Country | US
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Telephone | 203-697-1030
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Fax | 203-697-1039
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Provider Business Mailing Address
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Address Line | 80 S MAIN ST SUITE 3
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City | WALLINGFORD
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State | CT
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Zip | 06492-4222
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Country | US
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Telephone | 203-697-1030
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Fax | 203-697-1039
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL CARBUTTI
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Credential |
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Telephone | 203-697-1030
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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 | HCA.0000301
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License Number State | CT
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