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General NPI Number Information
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NPI Number | 1780085001
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Entity Type | Organization
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Legal Business Name | PREFERENCE HOME HEALTH CARE
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 58 CHARTER AVE
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City | WATERBURY
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State | CT
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Zip | 06705-3014
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Country | US
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Telephone | 203-560-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 58 CHARTER AVENUE
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City | WATERBURY
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State | CT
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Zip | 06705
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Country | US
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Telephone | 203-560-6012
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PREFERENCE IYEN
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Credential |
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Telephone | 203-560-6012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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