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General NPI Number Information
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NPI Number | 1770126963
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Entity Type | Organization
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Legal Business Name | SEVEN STARS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 1495 BLACK ROCK TPKE STE 2C
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City | FAIRFIELD
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State | CT
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Zip | 06825-4165
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Country | US
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Telephone | 203-870-4774
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Fax | 203-870-4773
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Provider Business Mailing Address
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Address Line | 1495 BLACK ROCK TPKE STE 2C
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City | FAIRFIELD
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State | CT
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Zip | 06825-4165
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Country | US
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Telephone | 203-870-4774
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Fax | 203-870-4773
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. DIANA MCRAE
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Credential |
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Telephone | 203-870-4774
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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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