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General NPI Number Information
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NPI Number | 1972198687
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Entity Type | Organization
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Legal Business Name | E AND P HOME HEALTH AGENCY
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 24 VICTORY DR
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City | NEW HAVEN
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State | CT
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Zip | 06515-1250
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Country | US
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Telephone | 203-397-5255
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Fax | 203-691-7496
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Provider Business Mailing Address
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Address Line | 24 VICTORY DR
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City | NEW HAVEN
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State | CT
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Zip | 06515-1250
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Country | US
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Telephone | 203-397-5255
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Fax | 203-691-7496
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATSY NELL LEWIS
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Credential |
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Telephone | 203-397-5255
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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 |
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License Number State |
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