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General NPI Number Information
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NPI Number | 1992669006
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Entity Type | Organization
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Legal Business Name | RED LION HOME CARE- CONNECTICUT
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2389 MAIN ST # 110
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City | GLASTONBURY
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State | CT
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Zip | 06033-4617
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Country | US
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Telephone | 215-805-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 2389 MAIN ST STE 110
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City | GLASTONBURY
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State | CT
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Zip | 06033-4617
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Country | US
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Telephone | 215-805-1334
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT RACE
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Credential |
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Telephone | 215-805-1334
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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 |
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License Number State |
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