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General NPI Number Information
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NPI Number | 1821572397
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Entity Type | Organization
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Legal Business Name | CARDY GROUP OF COMPANIES LLC
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 41 KENYON PL
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City | EAST HARTFORD
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State | CT
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Zip | 06108-2326
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Country | US
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Telephone | 860-474-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 41 KENYON PL
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City | EAST HARTFORD
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State | CT
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Zip | 06108-2326
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Country | US
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Telephone | 860-474-3818
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | JANE OHUIMUMWEN-OHENHEN
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Credential | MS COUNELING PSYCHO
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Telephone | 860-474-3818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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