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General NPI Number Information
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NPI Number | 1962945717
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Entity Type | Organization
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Legal Business Name | ASIANOUTLOOK IN HOME CARE INC.
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 5 WASHINGTON DR
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City | GALES FERRY
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State | CT
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Zip | 06335-1936
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Country | US
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Telephone | 860-381-5044
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Fax | 860-381-5353
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Provider Business Mailing Address
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Address Line | 5 WASHINGTON DR
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City | GALES FERRY
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State | CT
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Zip | 06335-1936
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Country | US
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Telephone | 860-381-5044
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Fax | 860-381-5353
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JUANITA JENNIE SMITH
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Credential | MHPM
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Telephone | 860-381-5044
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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 | HCA0000312
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License Number State | CT
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