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General NPI Number Information
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NPI Number | 1508872151
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Entity Type | Organization
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Legal Business Name | VISITING NURSES OF THE LOWER VALLEY, INC.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 61 MAIN ST 5
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City | CENTERBROOK
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State | CT
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Zip | 06409-1070
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Country | US
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Telephone | 860-767-0186
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Fax | 860-767-8383
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Provider Business Mailing Address
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Address Line | 61 MAIN ST 5
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City | CENTERBROOK
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State | CT
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Zip | 06409-1070
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Country | US
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Telephone | 860-767-0186
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Fax | 860-767-8383
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SUSAN MAXWELL
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Credential |
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Telephone | 860-767-0186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | C80114
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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 | C80114
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License Number State | CT
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