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NPI 1588128813

NPI 1588128813 : PERFECT CARE, INC. : HARTFORD, CT

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General NPI Number Information
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    NPI Number           |    1588128813
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERFECT CARE, INC. 
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Dates
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    Enumeration Date     |    01/31/2019
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    Last Update Date     |    01/31/2019
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Provider Practice Location Address
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    Address Line         |    36 HARTLAND ST 
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    City                 |    HARTFORD
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    State                |    CT
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    Zip                  |    06112-1128
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    Country              |    US
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    Telephone            |    860-805-5551
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 WILLIAM ST # 3 
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    City                 |    CHICOPEE
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    State                |    MA
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    Zip                  |    01020-2433
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    Country              |    US
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    Telephone            |    413-297-8300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NICHOLAS  LYNCH 
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    Credential           |    
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    Telephone            |    860-805-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management 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        |    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 #3
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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 #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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