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General NPI Number Information
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NPI Number | 1689962433
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 12 CASE ST STE 206
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City | NORWICH
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State | CT
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Zip | 06360-2222
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Country | US
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Telephone | 860-608-7139
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Fax | 860-889-0519
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Provider Business Mailing Address
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Address Line | PO BOX 1429
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City | GROTON
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State | CT
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Zip | 06340-1429
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Country | US
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Telephone | 860-608-7139
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Fax | 860-889-0519
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/MANAGING MEMBER
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Name | REGINA GAGLIARDO
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Credential |
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Telephone | 860-608-7139
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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 | 0000558
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License Number State | CT
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