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General NPI Number Information
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NPI Number | 1730517939
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Entity Type | Organization
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Legal Business Name | PIONEER HOME CARE, INC.
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 356 MAIN AVE APT D21
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City | NORWALK
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State | CT
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Zip | 06851-1560
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Country | US
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Telephone | 203-979-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 356 MAIN AVE APT D21
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City | NORWALK
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State | CT
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Zip | 06851-1560
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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 | LPN
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Name | DIODIO CASSET
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Credential |
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Telephone | 203-979-1070
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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 | 316105-1
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License Number State | NY
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