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General NPI Number Information
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NPI Number | 1023274966
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Entity Type | Organization
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Legal Business Name | C & JHOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 76 SUMMER ST SUITE 300
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City | FITCHBURG
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State | MA
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Zip | 01420-5783
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Country | US
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Telephone | 978-343-4443
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Fax | 978-343-2959
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Provider Business Mailing Address
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Address Line | 76 SUMMER ST SUITE 300
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City | FITCHBURG
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State | MA
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Zip | 01420-5783
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Country | US
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Telephone | 978-343-4443
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Fax | 978-343-2959
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. LISA MARIE POLADIAN
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Credential | LPN
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Telephone | 978-343-4443
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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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