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General NPI Number Information
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NPI Number | 1841360948
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION OF CENTRAL CONNECTICUT, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1318
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Country | US
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Telephone | 860-224-7131
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Fax | 860-224-8303
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Provider Business Mailing Address
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Address Line | 205 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1318
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Country | US
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Telephone | 860-224-7131
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Fax | 860-224-8303
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | MS. KIMBERLY A ANDREWS
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Credential | RN
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Telephone | 860-224-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0331
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License Number State | CT
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