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General NPI Number Information
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NPI Number | 1538734447
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Entity Type | Organization
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Legal Business Name | CONNCETICUT CARE LLC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 839 MAIN ST APT 59
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City | TORRINGTON
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State | CT
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Zip | 06790-3361
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Country | US
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Telephone | 860-400-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 264 MAIN ST STE 224
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City | TORRINGTON
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State | CT
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Zip | 06790-5204
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Country | US
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Telephone | 860-400-2224
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | FELICIA NYAME
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Credential |
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Telephone | 717-571-7329
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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 |
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License Number State |
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