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General NPI Number Information
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NPI Number | 1518095801
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Entity Type | Organization
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Legal Business Name | WESTERN CONNECTICUT HOME CARE, INC.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 100 SAW MILL RD
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City | DANBURY
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State | CT
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Zip | 06810-5106
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Country | US
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Telephone | 203-792-4120
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Fax | 203-791-2955
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Provider Business Mailing Address
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Address Line | 4 LIBERTY STREET
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City | DANBURY
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State | CT
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Zip | 06810
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Country | US
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Telephone | 203-792-4120
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Fax | 203-791-2955
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Authorized Official
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Title or Position | VICE PRESIDENT HOME CARE
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Name | ALYSON WINGATE BLANCK
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Credential | MSN, RN
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Telephone | 203-792-4120
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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 | C-805510
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License Number State | CT
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