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General NPI Number Information
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NPI Number | 1033562012
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Entity Type | Organization
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Legal Business Name | NURSE NEXT DOOR,LLC
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 11 PATTERSON ST
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City | BOSTON
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State | MA
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Zip | 02124-4820
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Country | US
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Telephone | 617-785-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PATTERSON ST
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City | BOSTON
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State | MA
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Zip | 02124-4820
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Country | US
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Telephone | 617-785-8985
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Fax |
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Authorized Official
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Title or Position | RN
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Name | RASHIDA DELERME
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Credential | RN
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Telephone | 617-785-8985
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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 | 001226945
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License Number State | MA
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