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General NPI Number Information
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NPI Number | 1093826596
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Entity Type | Organization
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Legal Business Name | INNOVIVE HEALTH OF MASSACHUSETTS LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 10 CABOT RD STE 201
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City | MEDFORD
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State | MA
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Zip | 02155-5173
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Country | US
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Telephone | 800-915-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CABOT RD STE 201
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City | MEDFORD
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State | MA
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Zip | 02155-5173
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Country | US
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Telephone | 800-915-3211
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | JOSEPH MCDONOUGH
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Credential |
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Telephone | 617-623-3211
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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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