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General NPI Number Information
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NPI Number | 1023481173
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Entity Type | Organization
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Legal Business Name | PRESIDENTIAL HEALTHCARE AT HOME LLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 1359 HANCOCK ST 2ND FLOOR, SUITE 1
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City | QUINCY
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State | MA
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Zip | 02169-5108
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Country | US
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Telephone | 617-866-3881
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Fax |
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Provider Business Mailing Address
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Address Line | 59 CODDINGTON ST STE 204
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City | QUINCY
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State | MA
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Zip | 02169-4510
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Country | US
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Telephone | 617-866-3881
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARMAARKE SAID
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Credential |
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Telephone | 617-866-3881
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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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