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General NPI Number Information
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NPI Number | 1598271264
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Entity Type | Organization
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Legal Business Name | FIRSTPLACEHOMECARE
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 126 WASHINGTON AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-3803
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Country | US
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Telephone | 203-345-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 126 WASHINGTON AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-3803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | C0-OWNER
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Name | MRS. HECTCHEY M DOFFOU
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Credential | RN,BSN
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Telephone | 203-252-7516
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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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