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General NPI Number Information
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NPI Number | 1760890867
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Entity Type | Organization
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Legal Business Name | PANSY HOME CARE SERVICE LLC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 361 PARK ROAD 1ST FLOOR
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1107
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Country | US
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Telephone | 860-212-6433
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Fax | 860-216-5362
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Provider Business Mailing Address
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Address Line | 361 PARK ROAD 1ST FLOOR
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1107
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Country | US
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Telephone | 860-212-6433
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Fax | 860-216-5362
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONAH C FRANCIS
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Credential |
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Telephone | 860-794-8131
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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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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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