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General NPI Number Information
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NPI Number | 1124599055
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Entity Type | Organization
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Legal Business Name | CARING HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 32 BOSSI AVE
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City | RANDOLPH
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State | MA
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Zip | 02368-2002
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Country | US
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Telephone | 617-230-0787
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Fax | 781-986-4627
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Provider Business Mailing Address
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Address Line | 32 BOSSI AVE
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City | RANDOLPH
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State | MA
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Zip | 02368-2002
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Country | US
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Telephone | 617-230-0787
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Fax | 781-986-4627
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Authorized Official
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Title or Position | NP/DIRECTOR
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Name | ENEFAA WILCOX
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Credential | MSN
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Telephone | 617-230-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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