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General NPI Number Information
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NPI Number | 1992256275
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Entity Type | Organization
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Legal Business Name | CARGILL INVESTMENT GROUP INC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 45 WINTONBURY AVE SUITE 321
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2470
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Country | US
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Telephone | 860-216-3385
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Fax | 187-758-5884
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Provider Business Mailing Address
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Address Line | 45 WINTONBURY AVE SUITE 321
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2470
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Country | US
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Telephone | 860-216-3385
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Fax | 187-758-5884
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS JACQUELINE D ROBINSON
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Credential |
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Telephone | 860-216-3385
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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 | 0000844
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License Number State | CT
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