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General NPI Number Information
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NPI Number | 1023551025
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL MINDS HOMECARE, LLC
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 118 SAINT KOLBE DR
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City | HOLYOKE
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State | MA
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Zip | 01040-4690
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Country | US
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Telephone | 413-219-0683
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Fax |
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Provider Business Mailing Address
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Address Line | 118 SAINT KOLBE DR
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City | HOLYOKE
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State | MA
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Zip | 01040-4690
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Country | US
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Telephone | 413-219-0683
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MILDRED LEFEBVRE
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Credential | LPN
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Telephone | 413-219-0683
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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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