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General NPI Number Information
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NPI Number | 1689055204
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Entity Type | Organization
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Legal Business Name | ADVENT HOMECARE LLC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 363 MAIN ST 2ND FLOOR
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City | HARTFORD
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State | CT
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Zip | 06106-1886
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Country | US
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Telephone | 860-724-2538
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Fax | 844-644-5247
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Provider Business Mailing Address
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Address Line | 363 MAIN ST 2ND FLOOR
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City | HARTFORD
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State | CT
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Zip | 06106-1886
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Country | US
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Telephone | 860-724-2538
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Fax | 844-644-5247
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIUS KIHUMBA
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Credential |
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Telephone | 860-724-2538
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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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