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General NPI Number Information
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NPI Number | 1689111726
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Entity Type | Organization
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Legal Business Name | VILLA HOMEMAKER & COMPANIONS LLC
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 1088 E MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06705-1039
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Country | US
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Telephone | 203-465-3793
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Fax |
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Provider Business Mailing Address
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Address Line | 1088 EAST MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06705
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Country | US
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Telephone | 203-465-3793
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | FREDERY RAMREZ
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Credential |
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Telephone | 203-465-3793
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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 | HCA0001098
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License Number State | CT
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