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General NPI Number Information
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NPI Number | 1467999748
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Entity Type | Organization
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Legal Business Name | HOME CARE BY RVNA, LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 27 GOVERNOR ST
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4657
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Country | US
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Telephone | 203-894-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 27 GOVERNOR ST
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4657
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Country | US
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Telephone | 203-894-5000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. HEATHER MCGIE
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Credential |
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Telephone | 203-894-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 0000838
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License Number State | CT
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