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General NPI Number Information
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NPI Number | 1982120747
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Entity Type | Organization
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Legal Business Name | HELEN'S HOMECARE
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 955 CONNECTICUT AVE #5305
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City | BRIDGEPORT
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State | CT
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Zip | 06607-1297
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Country | US
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Telephone | 203-296-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 955 CONNECTICUT AVE. #5305
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City | BRIDGEPORT
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State | CT
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Zip | 06607-1297
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Country | US
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Telephone | 203-296-1919
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EBONY LESLEY
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Credential |
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Telephone | 203-296-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | HCA.0001297
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License Number State | CT
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