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General NPI Number Information
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NPI Number | 1881487007
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Entity Type | Organization
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Legal Business Name | TRUC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 66 BROAD ST UNIT D
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City | STAMFORD
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State | CT
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Zip | 06901-2314
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Country | US
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Telephone | 917-583-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WESTCHESTER AVE STE N641
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City | RYE BROOK
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State | NY
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Zip | 10573-1360
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Country | US
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Telephone | 917-583-5499
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | RAYMOND FULLERTON
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Credential |
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Telephone | 917-583-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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