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General NPI Number Information
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NPI Number | 1881457406
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Entity Type | Organization
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Legal Business Name | THE A TEAM AT HOME LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 222 POST RD FL 2
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City | FAIRFIELD
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State | CT
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Zip | 06824-6245
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Country | US
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Telephone | 203-267-9115
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Fax | 203-286-3795
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Provider Business Mailing Address
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Address Line | 222 POST RD FL 2
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City | FAIRFIELD
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State | CT
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Zip | 06824-6245
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Country | US
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Telephone | 203-267-9115
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Fax | 203-286-3795
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Authorized Official
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Title or Position | OWNER
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Name | TYNISHA BENTLEY
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Credential |
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Telephone | 203-449-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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