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General NPI Number Information
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NPI Number | 1568128874
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Entity Type | Organization
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Legal Business Name | TRK CONSULTING SERVICES INC
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 66 CHESTNUT ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5159
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Country | US
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Telephone | 239-888-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 257 MIDDLETOWN AVE
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City | WETHERSFIELD
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State | CT
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Zip | 06109-3802
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Country | US
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Telephone | 860-499-0720
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | SATESH BUDDHU
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Credential |
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Telephone | 860-499-0720
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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