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General NPI Number Information
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NPI Number | 1689486094
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Entity Type | Organization
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Legal Business Name | OPULENT HOME CARE
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1266 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-3546
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Country | US
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Telephone | 475-324-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 15 GROVE ST
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City | TRUMBULL
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State | CT
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Zip | 06611-3621
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Country | US
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Telephone | 475-324-3924
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | CHERINA HAMILTON
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Credential |
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Telephone | 718-866-5344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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