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General NPI Number Information
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NPI Number | 1831070135
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Entity Type | Organization
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Legal Business Name | TRI-STATE CARE PARTNERS, INC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1010 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2202
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Country | US
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Telephone | 203-350-8489
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Fax | 203-443-8808
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Provider Business Mailing Address
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Address Line | 1010 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2202
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Country | US
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Telephone | 203-350-8489
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Fax | 203-443-8808
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER MATUS
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Credential | PT, DPT
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Telephone | 201-213-3950
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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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