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General NPI Number Information
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NPI Number | 1063956282
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Entity Type | Organization
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Legal Business Name | AGM HOMECARE LLC
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 364 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-3869
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Country | US
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Telephone | 508-444-0270
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Fax | 508-444-0275
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Provider Business Mailing Address
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Address Line | 23 PEASE FARM RD
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City | ELLINGTON
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State | CT
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Zip | 06029-3443
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Country | US
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Telephone | 508-843-6828
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Fax | 508-444-0275
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Authorized Official
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Title or Position | OWNER
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Name | GAYETHRI NARAYANSWAMY
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Credential |
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Telephone | 508-843-6828
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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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