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General NPI Number Information
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NPI Number | 1932787298
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Entity Type | Organization
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Legal Business Name | AWP HOME CARE, LLC
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 109 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3235
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Country | US
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Telephone | 203-659-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3235
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Country | US
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Telephone | 203-659-0402
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JACK YEUNG
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Credential | PHARMD
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Telephone | 203-659-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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