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General NPI Number Information
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NPI Number | 1659570786
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Entity Type | Organization
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Legal Business Name | COMPANIONS FOR LIVING, LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 25 COOLEY RD
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City | NORTH GRANBY
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State | CT
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Zip | 06060-1215
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Country | US
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Telephone | 860-413-9306
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 108
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City | GRANBY
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State | CT
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Zip | 06035-0108
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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 | PRESIDENT
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Name | MS. JULIANNE ROTH
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Credential | MS
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Telephone | 860-413-9306
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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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