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General NPI Number Information
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NPI Number | 1144018946
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Entity Type | Organization
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Legal Business Name | IANACARE INC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 163 HIGHLAND AVE
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City | NEEDHAM
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State | MA
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Zip | 02494-3025
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Country | US
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Telephone | 339-200-9512
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Fax |
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Provider Business Mailing Address
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Address Line | 716 BEACON ST UNIT 590713
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City | NEWTON
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State | MA
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Zip | 02459-5929
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | STEVEN LEE
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Credential |
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Telephone | 617-388-7108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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