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General NPI Number Information
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NPI Number | 1568839264
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Entity Type | Organization
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Legal Business Name | TWILIGHT COMPANION AND HOMEMAKERS LLC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 151 NEW PARK AVENUE SUITE 125
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City | HARTFORD
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State | CT
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Zip | 06106-2179
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Country | US
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Telephone | 860-231-6259
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Fax | 860-904-2645
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Provider Business Mailing Address
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Address Line | 151 NEW PARK AVENUE SUITE 125
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City | HARTFORD
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State | CT
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Zip | 06106-2179
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Country | US
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Telephone | 860-231-6259
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Fax | 860-904-2645
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Authorized Official
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Title or Position | PRINCIPAL
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Name | ALVIN J GAMBLE
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Credential |
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Telephone | 860-231-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 0001031
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License Number State | CT
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