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General NPI Number Information
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NPI Number | 1437652872
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Entity Type | Organization
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Legal Business Name | UNITED PERSONAL CARE LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 60 WASHINGTON TER
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City | BRIDGEPORT
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State | CT
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Zip | 06604-3418
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Country | US
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Telephone | 203-810-9186
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | BRIDGEPORT
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State | CT
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Zip | 06601-0736
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Country | US
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Telephone | 203-810-9186
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XADERIA MILTON
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Credential |
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Telephone | 203-274-3258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HCA.0001405
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License Number State | CT
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