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General NPI Number Information
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NPI Number | 1477705374
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Entity Type | Organization
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Legal Business Name | PATRICIA NEWTON-FOSTER NEWTON-FOSTER HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 92 ARCH ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1511
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Country | US
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Telephone | 203-773-5097
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Fax |
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Provider Business Mailing Address
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Address Line | 92 ARCH STREET
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City | NEW HAVEN
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State | CT
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Zip | 06519-1511
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Country | US
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Telephone | 203-773-5097
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Fax | 203-789-8898
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVON EUGENE NEWTON SR.
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Credential |
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Telephone | 203-773-5097
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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 | 0038
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License Number State | CT
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Taxonomy #2
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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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