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General NPI Number Information
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NPI Number | 1194192427
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Entity Type | Organization
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Legal Business Name | MALAMAV HOME HEALTH CARE AGENCY, INC.
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 167 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1797
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Country | US
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Telephone | 781-569-4924
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Fax |
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Provider Business Mailing Address
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Address Line | 167 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1797
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Country | US
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Telephone | 781-569-4924
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KERLINE DEBROSSE-PIARD
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Credential |
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Telephone | 781-569-4924
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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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