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General NPI Number Information
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NPI Number | 1811092273
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Entity Type | Organization
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Legal Business Name | BRISTOL HOME CARE AND HOSPICE AGENCY INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 32 VALLEY ST STE D
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City | BRISTOL
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State | CT
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Zip | 06010-4991
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Country | US
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Telephone | 860-585-0837
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Fax | 860-585-1756
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Provider Business Mailing Address
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Address Line | PO BOX 977
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City | BRISTOL
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State | CT
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Zip | 06011-0977
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Country | US
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Telephone | 860-585-4752
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Fax | 860-585-1756
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | CAREN CHALFANT
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Credential | RN
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Telephone | 860-585-0837
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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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