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General NPI Number Information
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NPI Number | 1881232767
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Entity Type | Organization
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Legal Business Name | W & J HOMECARE
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 847 W MAIN ST STE 2R
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City | BRANFORD
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State | CT
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Zip | 06405-3456
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Country | US
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Telephone | 203-464-4041
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Fax | 203-907-1000
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Provider Business Mailing Address
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Address Line | 847 W MAIN ST STE 2R
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City | BRANFORD
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State | CT
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Zip | 06405-3456
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Country | US
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Telephone | 203-464-4041
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Fax | 203-907-1000
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBORAH M. BATTISTA
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Credential |
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Telephone | 203-464-4041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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