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General NPI Number Information
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NPI Number | 1144632746
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Entity Type | Organization
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Legal Business Name | MAC COMPANY LLC
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Dates
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Enumeration Date | 05/30/2014
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Last Update Date | 05/30/2014
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Provider Practice Location Address
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Address Line | 231 SUTTON ST SUITE 2H
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-1620
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Country | US
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Telephone | 978-725-5995
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Fax | 978-725-4944
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Provider Business Mailing Address
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Address Line | 231 SUTTON ST SUITE 2H
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-1620
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Country | US
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Telephone | 978-725-5995
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Fax | 978-725-4944
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBRA A CUTLER
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Credential |
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Telephone | 978-725-5995
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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 | 7087
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License Number State | MA
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