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General NPI Number Information
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NPI Number | 1861726580
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Entity Type | Organization
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Legal Business Name | FAIRFIELD HEALTHCARE SEVICES INC.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 83 EAST AVE SUITE 104
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City | NORWALK
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State | CT
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Zip | 06851-4902
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Country | US
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Telephone | 203-810-4800
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Fax | 203-810-4798
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Provider Business Mailing Address
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Address Line | 39 WAMPUM HILL RD
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City | WESTON
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State | CT
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Zip | 06883-1228
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Country | US
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Telephone | 203-722-7502
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Fax | 203-810-4798
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. PETER ROY MOORE
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Credential |
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Telephone | 203-227-6533
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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 | HCA-0000398
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License Number State | CT
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